LAUREN ALEXIS KALLIANTASIS RN
NPI 1104486877
Nurse Anesthetist, Certified Registered in Detroit, MI
About Lauren Alexis Kalliantasis Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN ALEXIS KALLIANTASIS RN (NPI 1104486877) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704309721NSA190D3) and active in the NPI registry since June 2019. She is affiliated with Henry Ford Macomb Hospital and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lauren Alexis Kalliantasis Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Lauren Kalliantasis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- 132 clinicians in this Medicare group
Warren, MI 48089
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1912301094 (Michigan)
- 109 clinicians in this Medicare group
Flint, MI 48503
- Reassigned Medicare billing, Michigan enrollment
- 82 clinicians in this Medicare group
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Macomb Hospital
Acute Care Hospitals · Clinton Township, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, 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.
DETROIT, MI 48236
DETROIT, MI 48236
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 Lauren Kalliantasis's NPI number?
The NPI number for Lauren Kalliantasis is 1104486877. It was assigned to this individual provider in the NPPES registry on June 16, 2019.
Where is Lauren Kalliantasis located?
Lauren Kalliantasis practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-4000.
What is Lauren Kalliantasis's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lauren Kalliantasis enrolled in Medicare?
Yes. Lauren Kalliantasis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lauren Kalliantasis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Kalliantasis reassigns Medicare benefits to 4 organizations: Henry Ford Health St. John Hospital (Detroit, MI), Henry Ford Macomb Hospital Corporation (Warren, MI), Hurley Medical Center (Flint, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). Each 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 Lauren Kalliantasis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lauren Kalliantasis accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Lauren Kalliantasis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lauren Kalliantasis affiliated with any hospitals?
According to CMS data, Lauren Kalliantasis is affiliated with Henry Ford Macomb Hospital and Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Lauren Kalliantasis was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Lauren Alexis Kalliantasis, RN · NPI 1104486877
Nurse Anesthetist, Certified Registered physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since June 16, 2019.
## Identity
- **NPI:** 1104486877 (Entity type: Individual)
- **Enumerated:** June 16, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704309721NSA190D3 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22101 MOROSS RD, Detroit, MI 48236-2148
- **Phone:** (313) 343-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health St. John Hospital (NPI 1598896995, Detroit, MI); Henry Ford Macomb Hospital Corporation (NPI 1073844106, Warren, MI); Hurley Medical Center (NPI 1558397653, Flint, MI); Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 14, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104486877) · Data from the CMS NPPES public registry.