DAVID KABATA MACHUNGO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1225125735

DAVID KABATA MACHUNGO (CRNA) is a healthcare provider. based in Detroit, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704239474 (MI). The NPI Number for DAVID KABATA MACHUNGO (CRNA) is 1225125735

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DAVID KABATA MACHUNGO (CRNA)
NPI
1225125735
Phone
(313) 343-4766
Address
22101 Moross Rd
Enumeration Date
6 October 2006
Last Update Date
9 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8033953400
Graduation Year
2005 (21 years ago)
PAC ID
5092721662
Group Practice PAC ID
6507260668
Professional Enrollment ID
I20150903002353
Address ID
SC291181442OR3000XRDXX400

Contacts

Secure Messaging
dmachungo39134@direct.lexmed.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

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

Provider Addresses for DAVID KABATA MACHUNGO (CRNA)

  • 22101 Moross Rd

    Detroit, MI 482362148

    Phone: (313) 343-4766

    Type: Location

  • 45888, Winthrop Place, Westchester Farms, Macomb Township, Macomb County, Michigan, 48044, United States

    MACOMB, MI 480445790

    Phone:

    Type: Mailing

  • Sunset Boulevard, Sunset Court, Westover Acres, West Columbia, Lexington County, South Carolina, 29072, United States

    WEST COLUMBIA, SC 291694810

    Phone: (803) 791-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $299.

Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Medtronic, Inc. ($153).

Total Amount

$299

General + Research + Ownership

Payments

17

Total payment records

General Amount

$299

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2015-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (987 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
I20150903002353ICertified Registered Nurse Anesthetist (Crna)SC2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
01922Anesthesia for x-ray or radiation therapy5454$0
00811Anesthesia for other procedure on large bowel using an endoscope3333$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3029$0
00410Anesthesia for procedure to correct abnormal heart rhythm2020$0
00910Anesthesia for other procedure on urinary system through urethra1313$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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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: 6507260668View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyCO
Nurse PractitionerNC
Family PracticeSC
Certified Registered Nurse Anesthetist (Crna)SC
Internal MedicineNC
Nurse PractitionerSC
Certified Registered Nurse Anesthetist (Crna)SC
Nurse PractitionerNC
Physician AssistantSC
Nurse PractitionerSC

Reviews

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Frequently asked questions

Can I cross-check DAVID KABATA MACHUNGO (CRNA) using NPI 1225125735?
NPI 1225125735 belongs to DAVID KABATA MACHUNGO (CRNA); compare other details if you need extra assurance.
Would DAVID KABATA MACHUNGO (CRNA) appear as active to a payer?
You can treat DAVID KABATA MACHUNGO (CRNA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DAVID KABATA MACHUNGO (CRNA)?
DAVID KABATA MACHUNGO (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is DAVID KABATA MACHUNGO (CRNA) associated with Detroit?
Public fields place DAVID KABATA MACHUNGO (CRNA) around Detroit, Michigan. Always confirm the exact site before visiting.
Does DAVID KABATA MACHUNGO (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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