SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC – Land Ambulance, NPI 1720046188

SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC is a healthcare provider. based in Elmhurst, Illinois. specializing in Land Ambulance. The organization holds a License No. 501040 (MI). The NPI Number for SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC is 1720046188

Main info

Organization
Name
SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC
NPI
1720046188
Phone
(630) 538-1887
Address
395 W LAKE ST
Authorized Official
KIMBERLY PATE GODDEN III VICE PRESIDENT
Enumeration Date
3 May 2006
Last Update Date
18 July 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC

  • 395, West Lake Street, Elmhurst, DuPage County, Illinois, 60126, United States

    ELMHURST, IL 601261508

    Phone: (630) 538-1887

    Fax: (630) 903-2835

    Type: Mailing

  • 2000, Centerwood Drive, Warren, Macomb County, Michigan, 48091, United States

    WARREN, MI 48091

    Phone: (313) 832-8558

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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: 2005-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-07-31 (50 days away).

Enrollment records

1

Earliest due date

2026-07-31

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
O20050909000693OAmbulance Service SupplierMI2026-07-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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
A0425Ground mileage, per statute mile2,116,64214,061$0
A0428Ambulance service, basic life support, non-emergency transport, (bls)18,69111,362$0
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)2,1551,617$0
A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,117937$0
A0434Specialty care transport (sct)990826$0
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Insurance plans in this area (ZIP 60126)

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Reviews

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Frequently asked questions

Where can patients find SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC's NPI?
You can confirm SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC with NPI 1720046188; it appears in the national provider directory.
Is SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC active in the national directory?
SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC's public NPI profile is in an active state.
Can you summarize SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC's specialty in plain language?
Clinically, the directory lists SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC with Land Ambulance. Clinical services aligned with this taxonomy classification.
Where does public data place SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC?
The snapshot lists Elmhurst, Illinois for SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC; download NPPES for the complete set.
How can I contact SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN, INC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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