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AMC MOBILE
NPI 1376868372
Anesthesiology in Grand Rapids, MI

Active since April 01, 2010CLIA 23D2008765 · Waiver
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 284-3180(616) 284-3181 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amc Mobile NPPES

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

AMC MOBILE (NPI 1376868372) is a healthcare organization registered as an anesthesiology in Grand Rapids, Michigan and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists James F Vandam, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376868372
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameAMC MOBILE ANESTHESIA, PC
Location Address3333 EVERGREEN DR NEGrand Rapids, MI 49525-9493
Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9493 · (616) 284-3180 · Fax (616) 284-3181
Phone(616) 284-3180
Fax(616) 284-3181
Organization SubpartYesParent: West Michigan Anesthesia Anesthesia, Pc
Authorized OfficialJames F VandamExecutive Director · (616) 284-3100
Enumeration DateApril 1, 2010
Last NPPES UpdateOctober 23, 2012
✔ NPI 1376868372 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
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Other Names 1

Other NameAmc Mobile

Other Identifiers 2

Other0D10334MI · Bcbs Grp Pin
Medicare PINMI4229MI

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)

Amc Mobile is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Amc Mobile, which bills Medicare for the services they deliver. Of these, 27 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Anesthesiology31
Pain Management1

Nearest to this location (20)

See all 32
Rashad Albeiruti, MD
Anesthesiology
NPI 1346509007
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Payal Boss, MD
Anesthesiology
NPI 1245675024
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Betzie Duncan, MD
Anesthesiology
NPI 1831178722
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS0.1 mi
Nicholas Foster, M.D.
Anesthesiology
NPI 1295979052
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Phillip Hage, D.O.
Anesthesiology
NPI 1225267586
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Leah Koetje, M.D.
Anesthesiology
NPI 1871908921
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Philip Mcclarty, M.D.
Anesthesiology
NPI 1851557698
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Matthew Reynolds, M.D.
Anesthesiology
NPI 1386872430
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Eric Larson, MD
Anesthesiology
NPI 1063491652
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Xuan Tran, D.O.
Anesthesiology
NPI 1730287384
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS0.1 mi
Dennis Ahmad, D.O., M.P.H
Anesthesiology
NPI 1164650891
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Anne Busche, MD
Anesthesiology
NPI 1629043823
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Eric Egeler, M.D.
Anesthesiology
NPI 1114155264
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Jaklitsch, MD
Anesthesiology
NPI 1659359255
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Molly Okane, DO
Anesthesiology
NPI 1235119314
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Arthur Padilla, M.D.
Anesthesiology
NPI 1538104310
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Yashesh Savani, MD
Anesthesiology
NPI 1992785901
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS0.1 mi
Jeremy Vandenberg, M.D.
Anesthesiology
NPI 1497908040
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Kathryn Wladischkin, MD
Anesthesiology
NPI 1518226133
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Brandon Wong, MD
Anesthesiology
NPI 1083877856
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 364-4200
✔ PECOS✔ Accepts Medicare0.1 mi
See all 32 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2008765

Amc Mobile Anesthesia · Grand Rapids, MI
Active · expires Jun 16, 2028
CLIA Number23D2008765
Laboratory TypeMobile Anesthesia Unit
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorCandace L. Brotherton
Laboratory Phone(616) 284-3142
Laboratory LocationAmc Mobile Anesthesia3333 Evergreen Drive NE, Grand Rapids, MI 49525
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Amc Mobile Anesthesia, PC's NPI number?

The NPI number for Amc Mobile Anesthesia, PC is 1376868372. It was assigned to this organization in the NPPES registry on April 1, 2010. The provider is also known as Amc Mobile.

Where is Amc Mobile Anesthesia, PC located?

Amc Mobile Anesthesia, PC is located at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 284-3180.

What is Amc Mobile Anesthesia, PC's specialty?

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

Is Amc Mobile Anesthesia, PC enrolled in Medicare?

Yes. Amc Mobile Anesthesia, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amc Mobile Anesthesia, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 2 Medicare specialties reassign their Medicare billing to Amc Mobile 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 (31) and Pain Management (1). Of these, 27 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Amc Mobile Anesthesia, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2008765) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Amc Mobile Anesthesia, PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Amc Mobile 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 Amc Mobile Anesthesia, PC was last updated on October 23, 2012. 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.