Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boris Vidri, MD

Individual provider Anesthesiology Physician · NPI 1518373794

Boris Vidri, MD is an Anesthesiology in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2014, 12 years ago. Practices with Munson Healthcare Otsego Memorial Hospital, a 123-clinician group and works from 4 locations. Licensed in Michigan.

Years since qualifying
12
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 364-4200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-0833
  • 621 E Mehring Way Unit 1502, Cincinnati, OH 45202 — (248) 227-4767
  • 3333 Burnet Ave, Cincinnati, OH 45229-3026 — (513) 636-7339

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence 4301105813 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301105813 (MI)

Record details

NPI number1518373794
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2014
Last updated in NPPESJuly 10, 2019
Mailing address621 E Mehring Way Unit 1502, Cincinnati, OH 45202-3530

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Munson Healthcare Otsego Memorial Hospital — 123 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Grand Rapids