Boris Vidri, M.D.
NPI 1518373794ActiveIndividual· Anesthesiology, Pediatric Anesthesiology· Grand Rapids, MI
Anesthesiology, Pediatric Anesthesiology (M.D.) in Grand Rapids, Michigan, trained at Wayne State University School of Medicine (class of 2014). Medicare paid $7,108 for services to 51 patients in 2024.
Overview
| NPI | 1518373794 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 8, 2014 |
| Last updated in NPPES | Jul 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pediatric Anesthesiology Primary | 207LP3000X | 4301105813 | MI |
| Anesthesiology | 207L00000X | 4301105813 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 55 across 31 procedure codes |
| Paid by Medicare | $7,108 |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Anesthesiology |
Medical groups
- Northstar Anesthesia of Michigan III PLLCDearborn, MI · 561 clinicians
- Munson Healthcare Otsego Memorial HospitalGaylord, MI · 120 clinicians
- Grayling Anesthesia Associates, PCGrayling, MI · 9 clinicians
Hospital affiliations
- Beaumont Hospital, TroyTroy, MI
- Munson Healthcare Grayling HospitalGrayling, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Anesthesiology, Pediatric Anesthesiology providers in Grand Rapids
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- 1366071888
All Anesthesiology, Pediatric Anesthesiology providers in Michigan