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

Philip Kodsy

Individual provider Registered Nurse · NPI 1477030575

Philip Kodsy is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2018, 8 years ago. Practices with Hurley Medical Center, a 336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Hurley Plz, Flint, MI 48503-5902 — (810) 262-9000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704307415 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704307415 (MI)

Record details

NPI number1477030575
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2018
Last updated in NPPESSeptember 4, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hurley Medical Center — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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