Individual provider

Taylor Pruis, MD

Anesthesiology Physician Medicare enrolled

Taylor Pruis, MD is an Anesthesiology Physician in Wyoming, MI, registered under NPI 1104452036.

Getting there

The practice address on file is 5900 BYRON CENTER AVE SW, Wyoming, MI 49519. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5900 BYRON CENTER AVE SW, Wyoming, MI 49519 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
4301512279 MI Anesthesiology Physician primary
CDR.0005761 CO Anesthesiology Physician

Licences are recorded in 2 states: MI, CO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Anesthesiology
PAC ID
2860816089

Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Colorado and Michigan. The practice address on file is in Wyoming, MI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado
Licence
CDR.0005761
Specialty
Anesthesiology Physician
Verify with the CO board →
MI Michigan practice address
Licence
4301512279
Specialty
Anesthesiology Physician
Verify with the MI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Anesthesiology covers

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. NUCC Health Care Provider Taxonomy, code 207L00000X
Allopathic & Osteopathic Physicians Anesthesiology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207L00000X Anesthesiology Physician 4301512279 MI primary
207L00000X Anesthesiology Physician CDR.0005761 CO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104452036 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 23, 2020
Last updatedOct 29, 2025
StatusActive
Sole proprietorNo
CredentialMD
Practice address 5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(161) 625-2720
Mailing address 3333 EVERGREEN DR NE
Grand Rapids, MI 49525
This record was updated on Oct 29, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104452036 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 4 5 2 0 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 8 5 4 0 6

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104452036?
NPI 1104452036 is the National Provider Identifier assigned to Taylor Pruis, MD in Wyoming, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Anesthesiology Physician cover?
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…
How do I contact Taylor Pruis, MD?
The phone number on file with NPPES is (161) 625-2720, last updated Oct 29, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Taylor Pruis, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104452036 a valid number?
Yes. 1104452036 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.