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WEST MICHIGAN ANESTHESIA, PC
NPI 1225016926
Anesthesiology in Grand Rapids, MI

Active since January 04, 2006
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 364-4200(616) 364-7347 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About West Michigan Anesthesia, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST MICHIGAN ANESTHESIA, PC (NPI 1225016926) is a healthcare organization registered as an anesthesiology in Grand Rapids, Michigan and active in the NPI registry since January 2006. The organization lists Jack Dillon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225016926
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameWEST MICHIGAN ANESTHESIA, PC
Location Address3333 EVERGREEN DR NEGrand Rapids, MI 49525-9493
Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9493 · (616) 364-4200 · Fax (616) 364-7347
Phone(616) 364-4200
Fax(616) 364-7347
Organization SubpartNo
Authorized OfficialJack DillonExecutive Director · (616) 284-3100
Enumeration DateJanuary 4, 2006
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1225016926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3333 EVERGREEN DR NE, Grand Rapids, MI 49525
Open in Google Maps ↗

Other Identifiers 3

Other0D11110MI · Bcbs Pin
Other0D11111MI · Bcbs Pin
OtherCG5419MI · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Michigan Anesthesia, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

118

Medicare enrollment records show 118 clinicians reassign Medicare billing to West Michigan Anesthesia, PC, which bills Medicare for the services they deliver. Of these, 61 practice at this address and 94 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Anesthesiology70
Certified Registered Nurse Anesthetist (CRNA)25
Anesthesiology Assistant22
Pain Management1

Nearest to this location (20)

See all 118
Rashad Albeiruti, MD
Anesthesiology
NPI 1346509007
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts MedicareSame address
Payal Boss, MD
Anesthesiology
NPI 1245675024
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts MedicareSame address
William Chizmar, AA
Anesthesiology Assistant
NPI 1700999513
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Katie Delcastillo, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538408232
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Matthew Donovan, MD
Anesthesiology
NPI 1952381824
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts MedicareSame address
Mary Ann Dow, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386664720
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts MedicareSame address
Betzie Duncan, MD
Anesthesiology
NPI 1831178722
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOSSame address
Teresa Fatum, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255444931
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Nicholas Foster, M.D.
Anesthesiology
NPI 1295979052
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts MedicareSame address
James Green, AA, PA
Anesthesiology Assistant
NPI 1285747378
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
Same address
Phillip Hage, D.O.
Anesthesiology
NPI 1225267586
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts MedicareSame address
Todd Hart, MD
Anesthesiology
NPI 1649242223
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts MedicareSame address
Ryan Kamphuis, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619081544
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Rebecca Kremsreiter, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477790681
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Landon Lapham, AA
Anesthesiology Assistant
NPI 1851679807
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Steven Martin
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154723971
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Shannon Mayhew, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437410164
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Demetria Meyer, CAA
Anesthesiology Assistant
NPI 1376376285
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Ina Okonowski
Anesthesiology Assistant
NPI 1396150066
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
Nicholas Simpson
Anesthesiology Assistant
NPI 1497217335
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ Accepts MedicareSame address
See all 118 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 West Michigan Anesthesia, PC's NPI number?

The NPI number for West Michigan Anesthesia, PC is 1225016926. It was assigned to this organization in the NPPES registry on January 4, 2006.

Where is West Michigan Anesthesia, PC located?

West Michigan Anesthesia, PC is located at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-4200.

What is West Michigan Anesthesia, PC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is West Michigan Anesthesia, PC enrolled in Medicare?

Yes. West Michigan Anesthesia, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Michigan Anesthesia, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 118 clinicians in 4 Medicare specialties reassign their Medicare billing to West Michigan Anesthesia, PC. A 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 the clinician's services. The largest specialties are Anesthesiology (70), Certified Registered Nurse Anesthetist (CRNA) (25) and Anesthesiology Assistant (22). Of these, 61 practice at this address and 94 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does West Michigan Anesthesia, PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list West Michigan Anesthesia, PC 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.

When was this NPI record last updated?

The NPPES record for West Michigan Anesthesia, PC was last updated on September 5, 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.