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JODY D TAVALIERI CRNA
NPI 1477635746
Nurse Anesthetist, Certified Registered in Detroit, MI

Active since October 19, 2006Accepts Medicare Assignment
83.35/100
CMS Quality Rating
22101 MOROSS RD, DETROIT, MI 48236(313) 343-4766 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jody D Tavalieri Crna NPPES

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

JODY D TAVALIERI CRNA (NPI 1477635746) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704165288) and active in the NPI registry since October 2006. He is affiliated with Ascension St John Hospital and is a graduate of Other (1991).

NPPES Registry Identity

NPI1477635746
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJODY D TAVALIERICredential: CRNA
Location Address22101 MOROSS RDDetroit, MI 48236-2148
Mailing Address23256 Robert John StSaint Clair Shores, MI 48080-2609
Phone(313) 343-4766
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477635746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704165288
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
22101 MOROSS RD, Detroit, MI 48236
Open in Google Maps ↗

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jody D Tavalieri 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.

PECOS PAC ID6800992512
PECOS Enrollment IDI20070426000019

Medicare Billing Reassignments

3

Medicare enrollment records show Jody Tavalieri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health St. John Hospital
Same address
Nurse Anesthetist, Certified Registered
22101 MOROSS RD, SUITE 101
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • 132 clinicians in this Medicare group
NPI 1598896995 (586) 753-0011
Henry Ford Health System
9.4 mi
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 306 clinicians in this Medicare group
NPI 1871666479 (313) 916-2600
Trillium Anesthesia Services, PLLC
11 mi
Anesthesiology
37399 GARFIELD RD STE 104
Clinton Township, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 18 clinicians in this Medicare group
NPI 1417522848 (586) 228-5300

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

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

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.

MARY DECAROLIS LMSW, ACSW
Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 417-2769
ELEFTHERIOS VOUYOUKAS MD, MSC
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
JAINA SABU SAMUEL
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
DR. DANIEL S RANA M.D.
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
MRS. MARIA ANNA SYJUD MPT
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-3744
DANIEL P SNOWER MD
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
ST. JOHN HOSPITAL AND MEDICAL CENTER
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (586) 753-0011
ENAS ALSHAREKH
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

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 Jody Tavalieri's NPI number?

The NPI number for Jody Tavalieri is 1477635746. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Jody Tavalieri located?

Jody Tavalieri practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-4766.

What is Jody Tavalieri's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jody Tavalieri enrolled in Medicare?

Yes. Jody Tavalieri 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 Jody Tavalieri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jody Tavalieri reassigns Medicare benefits to 3 organizations: Henry Ford Health St. John Hospital (Detroit, MI), Henry Ford Health System (Detroit, MI) and Trillium Anesthesia Services, PLLC (Clinton Township, MI). 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 Jody Tavalieri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jody Tavalieri accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jody Tavalieri 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 Jody Tavalieri affiliated with any hospitals?

According to CMS data, Jody Tavalieri is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Jody Tavalieri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.