MICHAEL REARDON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124095617

MICHAEL REARDON (CRNA) is a healthcare provider. based in Royal oak, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704200718 (MI). The NPI Number for MICHAEL REARDON (CRNA) is 1124095617

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL REARDON (CRNA)
NPI
1124095617
Phone
(248) 423-2481
Address
3601 W. 13 MILE RD
Enumeration Date
2 March 2006
Last Update Date
27 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484772200
Graduation Year
1999 (27 years ago)
PAC ID
1355390485
Group Practice PAC ID
9931324076
Professional Enrollment ID
I20050115000153
Address ID
MI483751879NO25500RDXX317
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for MICHAEL REARDON (CRNA)

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    400 FSC-PCS

    ROYAL OAK, MI 480736769

    Phone: (248) 423-2481

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $351.

Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($159).

Total Amount

$351

General + Research + Ownership

Payments

19

Total payment records

General Amount

$351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

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: 2005-01-15

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
I20050115000153ICertified Registered Nurse Anesthetist (Crna)MITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope9090$0
00812Anesthesia for exam of colon using an endoscope5050$0
01992Anesthesia for nerve block and injection procedure, prone position4538$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3939$0
00813Anesthesia for procedure on small and large bowel using an endoscope2727$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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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: 9931324076View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What is the registry number for MICHAEL REARDON (CRNA)?
The registry entry for MICHAEL REARDON (CRNA) shows NPI 1124095617.
Quick check: is MICHAEL REARDON (CRNA) active?
Public NPPES data shows MICHAEL REARDON (CRNA) with an active NPI status right now.
What type of care does MICHAEL REARDON (CRNA) provide?
MICHAEL REARDON (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MICHAEL REARDON (CRNA) tied to Royal Oak, Michigan?
If you are local to Royal Oak, Michigan, MICHAEL REARDON (CRNA) may be relevant to your search.
Can I export MICHAEL REARDON (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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