APOLLO MEDICAL GROUP OF TRAVERSE CITY PLLC
NPI 1467093153
Anesthesiology in Traverse City, MI

Active since October 03, 2019
3663 N COUNTRY DR, TRAVERSE CITY, MI 49684(866) 888-8510 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2023, Dec 10, 2021, Feb 26, 2021 and 1 more (4 updates tracked since 2019).

About Apollo Medical Group Of Traverse City Pllc NPPES

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

APOLLO MEDICAL GROUP OF TRAVERSE CITY PLLC (NPI 1467093153) is a healthcare organization registered as an anesthesiology in Traverse City, Michigan and active in the NPI registry since October 2019. The organization lists Robin Van Sprundel, Director Of Administration, as its authorized official.

NPPES Registry Identity

NPI1467093153
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameAPOLLO MEDICAL GROUP OF TRAVERSE CITY PLLC
Location Address3663 N COUNTRY DRTraverse City, MI 49684-4587
Mailing AddressPo Box 4406Springfield, IL 62708-4406 · (866) 888-8510
Organization SubpartNo
Authorized OfficialRobin Van SprundelDirector Of Administration · (941) 725-1198
Enumeration DateOctober 3, 2019
Last NPPES UpdateApril 5, 20234 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1467093153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
3663 N COUNTRY DR, Traverse City, MI 49684

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Apollo Medical Group Of Traverse City Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Apollo Medical Group Of Traverse City PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)16
Anesthesiology7

Nearest to this location (20)

See all 23
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851353916
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare1.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437401254
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare1.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972849362
1 ATKINSON DR
Ludington, MI 49431
(231) 845-2539
✔ Accepts Medicare65 mi
Anesthesiology
NPI 1669497723
4005 ORCHARD DR
Midland, MI 48670
(989) 839-3606
✔ PECOS✔ Accepts Medicare102 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477984987
4228 BAY CITY RD
Midland, MI 48642
(989) 495-9100
✔ Accepts Medicare106 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871598151
2261 FOREST HILL AVE SE
Grand Rapids, MI 49546
(616) 485-6882
✔ Accepts Medicare124 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184681751
8333 FELCH ST
Zeeland, MI 49464
(616) 935-6200
✔ Accepts Medicare132 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619274289
1215 E MICHIGAN AVE
Lansing, MI 48912
(517) 364-3350
✔ Accepts Medicare148 mi
Anesthesiology
NPI 1225003148
900 PEELER ST
Kalamazoo, MI 49008
(269) 345-8618
✔ PECOS✔ Accepts Medicare169 mi
Anesthesiology
NPI 1568625440
1234 NAPIER AVE
Saint Joseph, MI 49085
(800) 232-5703
✔ PECOS✔ Accepts Medicare186 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508414541
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 898-5000
196 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609806967
36475 5 MILE RD
Livonia, MI 48154
(734) 655-2022
✔ Accepts Medicare197 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255432142
15855 19 MILE RD
Clinton Twp, MI 48038
(586) 263-2370
✔ Accepts Medicare198 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831148113
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare200 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1730457797
6071 W OUTER DR
Detroit, MI 48235
(313) 966-6933
✔ Accepts Medicare201 mi
Anesthesiology
NPI 1003878109
18181 OAKWOOD BLVD
Dearborn, MI 48124
(313) 593-1573
✔ PECOS208 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073853339
468 CADIEUX RD
Grosse Pointe, MI 48230
(313) 473-1000
✔ Accepts Medicare212 mi
Anesthesiology
NPI 1417901596
5165 MCCARTY LN
Lafayette, IN 47905
(765) 448-8000
✔ PECOS✔ Accepts Medicare304 mi
Anesthesiology
NPI 1184620544
5921 MERIDIAN WOODS
Glen Carbon, IL 62034
(618) 391-5883
✔ PECOS467 mi
Anesthesiology
NPI 1780621268
898 N PACIFIC COAST HWY STE 600
El Segundo, CA 90245
(310) 698-5254
✔ PECOS✔ Accepts Medicare1,890 mi
See all 23 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 Apollo Medical Group Of Traverse City PLLC's NPI number?

The NPI number for Apollo Medical Group Of Traverse City PLLC is 1467093153. It was assigned to this organization in the NPPES registry on October 3, 2019.

Where is Apollo Medical Group Of Traverse City PLLC located?

Apollo Medical Group Of Traverse City PLLC is located at 3663 N Country Dr, Traverse City, MI 49684. The listed phone number is (866) 888-8510.

What is Apollo Medical Group Of Traverse City PLLC's specialty?

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

Is Apollo Medical Group Of Traverse City PLLC enrolled in Medicare?

Yes. Apollo Medical Group Of Traverse City PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Apollo Medical Group Of Traverse City PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 2 Medicare specialties reassign their Medicare billing to Apollo Medical Group Of Traverse City 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (16) and Anesthesiology (7). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Apollo Medical Group Of Traverse City PLLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Apollo Medical Group Of Traverse City 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 Apollo Medical Group Of Traverse City PLLC was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.