KEVIN J SOUTHWAY CRNA
NPI 1407009335
Nurse Anesthetist, Certified Registered in Mount Clemens, MI
About Kevin J Southway Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN J SOUTHWAY CRNA (NPI 1407009335) is an individual nurse anesthetist, certified registered in Mount Clemens, Michigan, licensed in Michigan (4704244110) and active in the NPI registry since October 2008. He is affiliated with Ascension Providence Hospital, Southfield And Novi and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin J Southway Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
12Medicare enrollment records show Kevin Southway reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 112 clinicians in this Medicare group
Macomb, MI 48044
- Reassigned Medicare billing, Michigan enrollment
- 87 clinicians in this Medicare group
Macomb, MI 48044
- Reassigned Medicare billing, Michigan enrollment
- 61 clinicians in this Medicare group
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 99 clinicians in this Medicare group
Warren, MI 48093
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1871793505 (Michigan)
- 78 clinicians in this Medicare group
Troy, MI 48098
- Reassigned Medicare billing, Michigan enrollment
- 87 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 122 clinicians in this Medicare group
Novi, MI 48377
- Reassigned Medicare billing, Michigan enrollment
- 192 clinicians in this Medicare group
Novi, MI 48377
- Reassigned Medicare billing, Michigan enrollment
- 188 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 209 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence Hospital, Southfield And Novi
Acute Care Hospitals · Southfield, MIAscension Macomb Oakland Hosp-Warren Campus
Acute Care Hospitals · Warren, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare 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.
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
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 Kevin Southway's NPI number?
The NPI number for Kevin Southway is 1407009335. It was assigned to this individual provider in the NPPES registry on October 23, 2008.
Where is Kevin Southway located?
Kevin Southway practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8747.
What is Kevin Southway's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kevin Southway enrolled in Medicare?
Yes. Kevin Southway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Southway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Southway reassigns Medicare benefits to 12 organizations: Glps Staffing Solutions LLC (Mount Clemens, MI), Macomb Endoscopy Center Plc (Macomb, MI), Pinnacle Anesthesia PLLC (Macomb, MI), Eastside Group LLC (Saint Clair Shores, MI), Henry Ford Health Macomb Oakland Hospital (Warren, MI) and 7 more organizations, listed in the Medicare section above. 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 Kevin Southway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Southway accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kevin Southway 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 Kevin Southway affiliated with any hospitals?
According to CMS data, Kevin Southway is affiliated with Ascension Providence Hospital, Southfield And Novi and Ascension Macomb Oakland Hosp-Warren Campus.
When was this NPI record last updated?
The NPPES record for Kevin Southway was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Kevin J Southway, CRNA · NPI 1407009335
Nurse Anesthetist, Certified Registered physician in Mount Clemens, Michigan. Individual provider, active in the CMS NPPES registry since October 23, 2008.
## Identity
- **NPI:** 1407009335 (Entity type: Individual)
- **Enumerated:** October 23, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704244110 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 HARRINGTON ST, Mount Clemens, MI 48043-2920
- **Phone:** (586) 493-8747
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Glps Staffing Solutions LLC (NPI 1750797015, Mount Clemens, MI); Macomb Endoscopy Center Plc (NPI 1780923128, Macomb, MI); Pinnacle Anesthesia PLLC (NPI 1295301133, Macomb, MI); Eastside Group LLC (NPI 1235365289, Saint Clair Shores, MI); Henry Ford Health Macomb Oakland Hospital (NPI 1396789434, Warren, MI); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 23, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1407009335) · Data from the CMS NPPES public registry.