PHILLIP D UNTHANK CRNA
NPI 1073562161
Nurse Anesthetist, Certified Registered in Southfield, MI
About Phillip D Unthank Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP D UNTHANK CRNA (NPI 1073562161) is an individual nurse anesthetist, certified registered in Southfield, Michigan, licensed in Michigan (4704167210) and active in the NPI registry since May 2006. He is affiliated with Beaumont Hospital - Dearborn and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phillip D Unthank Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Phillip Unthank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Dearborn
Acute Care Hospitals · Dearborn, MIMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Phillip Unthank's NPI number?
The NPI number for Phillip Unthank is 1073562161. It was assigned to this individual provider in the NPPES registry on May 8, 2006.
Where is Phillip Unthank located?
Phillip Unthank practices at 22401 Foster Winter Dr, Southfield, MI 48075. The listed phone number is (248) 423-5100.
What is Phillip Unthank's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Phillip Unthank enrolled in Medicare?
Yes. Phillip Unthank is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Phillip Unthank's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Unthank reassigns Medicare benefits to Northstar Anesthesia Of Michigan III PLLC (Irving, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Unthank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Phillip Unthank affiliated with any hospitals?
According to CMS data, Phillip Unthank is affiliated with Beaumont Hospital - Dearborn.
When was this NPI record last updated?
The NPPES record for Phillip Unthank was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Phillip D Unthank, CRNA · NPI 1073562161
Nurse Anesthetist, Certified Registered physician in Southfield, Michigan. Individual provider, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1073562161 (Entity type: Individual)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704167210 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 22401 FOSTER WINTER DR, Southfield, MI 48075-3724
- **Phone:** (248) 423-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** December 28, 2011
- **Other identifiers:** Medicare ID-Type Unspecified N97820007 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1073562161) · Data from the CMS NPPES public registry.