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NPISignal

Individual Healthcare Provider

Boris Vidri, M.D.

NPI Record: ActiveAnesthesiology — Pediatric Anesthesiology
NPI1518373794
Grand Rapids, Michigan

Provider's NPPES record last updated: July 10, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1518373794
Primary Specialty
Anesthesiology — Pediatric Anesthesiology
Practice Location
Grand Rapids, Michigan
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 6:09 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Anesthesiology

    Pediatric Anesthesiology

    Allopathic & Osteopathic Physicians

    Primary

    An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

    Taxonomy code 207LP3000X
  • Anesthesiology

    Allopathic & Osteopathic Physicians

    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

    Taxonomy code 207L00000X

Provider-Reported License Information

Anesthesiology (Michigan)
4301105813
Anesthesiology (Michigan)
4301105813
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

100 Michigan St Ne

Grand Rapids, Michigan 49503-2560

Phone: (616) 364-4200

Additional Practice Location

3601 W 13 Mile Rd

Royal Oak, Michigan 48073-6712

Phone: (248) 898-0833

Additional Practice Location

3333 Burnet Ave

Cincinnati, Ohio 45229-3026

Phone: (513) 636-7339

Additional Practice Location

621 E Mehring Way Unit 1502

Cincinnati, Ohio 45202

Phone: (248) 227-4767

Record Information

Enumeration Date
July 8, 2014
Provider's NPPES Record Last Updated
July 10, 2019
NPISignal NPPES Dataset
August 2026

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