SOUTHGATE ALLIED ANESTHESIA PLLC
NPI 1689046070
Anesthesiologist Assistant in Southgate, MI
NPI Status: Active since October 24, 2015
Contact Information
13460 FORT ST
SOUTHGATE, MI
ZIP 48195
Phone: (313) 263-5961
Fax: (313) 263-5963
- Organization
- Anesthesiologist Assistant
- Accepts Insurance
- CLIA Number: 23D0897331
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 02-01-2027
About SOUTHGATE ALLIED ANESTHESIA PLLC
This page provides the complete NPI Profile along with additional information for Southgate Allied Anesthesia Pllc, a provider established in Southgate, Michigan operating as a Anesthesiologist Assistant. The healthcare provider is registered in the NPI registry with number 1689046070 assigned on October 2015. The practitioner's primary taxonomy code is 367H00000X with license number 4704090801 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. Southgate Allied Anesthesia Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Atif Bawahab (Admin)
- NPI
- 1689046070
- Provider Name
- SOUTHGATE ALLIED ANESTHESIA PLLC
- Entity Type
- Organization
- Location Address
- 13460 FORT ST SOUTHGATE, MI 48195
- Location Phone
- (313) 263-5961
- Location Fax
- (313) 263-5963
- Mailing Address
- PO BOX 2071 SOUTHGATE, MI 48195
- Mailing Phone
- (313) 263-5961
- Mailing Fax
- (313) 263-5963
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2015
- Last Update Date
- 10-24-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiologist Assistant
- Taxonomy Code
- 367H00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4704090801
- License State
- MI
- Taxonomy Description
- An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0897331
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- February 02, 2025
- Certificate Expiration Date
- February 01, 2027
- Laboratory Director
- C V KUMAR MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southgate Allied Anesthesia Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1689046070, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689046070, enumerated as an "organization" on October 24, 2015.
The provider is located at 13460 FORT ST SOUTHGATE, MI 48195 and the phone number is (313) 263-5961.
Anesthesiologist Assistant with taxonomy code 367H00000X.
The provider might be accepting Accepts: McLaren Health Plan Community. Please consult your insurance carrier or call the provider to verify.
