DR. EDWARD R KAMINSKI (M.D.) – Anesthesiology Physician, NPI 1114134012

DR. EDWARD R KAMINSKI (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in ANESTHESIOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 5315028083 (MI). The NPI Number for DR. EDWARD R KAMINSKI (M.D.) is 1114134012

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD R KAMINSKI (M.D.)
NPI
1114134012
Phone
(313) 359-1975
Address
3990 JOHN R ST
Enumeration Date
17 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3137455437
Graduation Year
2004 (22 years ago)
PAC ID
0446301626
Group Practice PAC ID
1153483235
Professional Enrollment ID
I20090629000409
Address ID
MI482012119DE3901XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,714 ANESTHESIOLOGY in MI

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Provider Addresses for DR. EDWARD R KAMINSKI (M.D.)

  • Harper University Hospital, 3990, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482012018

    Phone: (313) 359-1975

    Type: Location

  • 21565, Nowlin Street, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States

    DEARBORN, MI 481243003

    Phone: (313) 359-1975

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Mindray DS USA, Inc. ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mindray DS USA, Inc.$34
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090629000409IAnesthesiologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153483235View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YNM
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
-MI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

How is DR. EDWARD R KAMINSKI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. EDWARD R KAMINSKI (M.D.) with NPI 1114134012.
Does CMS list DR. EDWARD R KAMINSKI (M.D.) as active?
Yes — DR. EDWARD R KAMINSKI (M.D.) is active in the NPI listing used on this page.
What is DR. EDWARD R KAMINSKI (M.D.)'s specialty?
The listing groups DR. EDWARD R KAMINSKI (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. EDWARD R KAMINSKI (M.D.) on a map?
Expect Detroit, Michigan as a primary anchor for DR. EDWARD R KAMINSKI (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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