SOUTHEAST MICHIGAN ANESTHESIA GROUP PLLC
NPI 1417403866
Anesthesiology in Dearborn, MI

Active since August 26, 2016
13530 MICHIGAN AVE, SUITE 100, DEARBORN, MI 48126(313) 582-7777 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2022, Aug 11, 2022, Aug 26, 2016 (3 updates tracked since 2016).

About Southeast Michigan Anesthesia Group Pllc NPPES

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

SOUTHEAST MICHIGAN ANESTHESIA GROUP PLLC (NPI 1417403866) is a healthcare organization registered as an anesthesiology in Dearborn, Michigan and active in the NPI registry since August 2016. The organization lists Fatina Masri, Ao, as its authorized official.

NPPES Registry Identity

NPI1417403866
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSOUTHEAST MICHIGAN ANESTHESIA GROUP PLLC
Location Address13530 MICHIGAN AVE, SUITE 100Dearborn, MI 48126-3574
Mailing Address13530 Michigan Ave, Suite 100Dearborn, MI 48126-3574 · (313) 582-7777
Organization SubpartNo
Authorized OfficialFatina MasriAo · (313) 582-7777
Enumeration DateAugust 26, 2016
Last NPPES UpdateSeptember 1, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1417403866 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.
13530 MICHIGAN AVE, Dearborn, MI 48126

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Michigan Anesthesia Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Southeast Michigan Anesthesia Group PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1447868237
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-1841
5.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891815445
4707 SAINT ANTOINE ST
Detroit, MI 48201
(952) 442-9770
✔ Accepts Medicare6.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407243835
3990 JOHN R ST
Detroit, MI 48201
(313) 745-2000
✔ PECOS✔ Accepts Medicare12 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346207206
5456 15 MILE RD SUITE 101
Sterling Heights, MI 48310
(586) 977-7246
✔ Accepts Medicare17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932584679
900 PEELER ST
Kalamazoo, MI 49008
(269) 345-8618
✔ Accepts Medicare124 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1942744131
7500 STATE RD
Cincinnati, OH 45255
(513) 624-4500
232 mi

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 Southeast Michigan Anesthesia Group PLLC's NPI number?

The NPI number for Southeast Michigan Anesthesia Group PLLC is 1417403866. It was assigned to this organization in the NPPES registry on August 26, 2016.

Where is Southeast Michigan Anesthesia Group PLLC located?

Southeast Michigan Anesthesia Group PLLC is located at 13530 Michigan Ave Suite 100, Dearborn, MI 48126. The listed phone number is (313) 582-7777.

What is Southeast Michigan Anesthesia Group PLLC's specialty?

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

Is Southeast Michigan Anesthesia Group PLLC enrolled in Medicare?

Yes. Southeast Michigan Anesthesia Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Michigan Anesthesia Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Southeast Michigan Anesthesia Group PLLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeast Michigan Anesthesia Group PLLC accept?

Health plans from Priority Health list Southeast Michigan Anesthesia Group PLLC 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 Southeast Michigan Anesthesia Group PLLC was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.