Active NPI
Sugandhi Sridharan, MD
- Neurology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301084666
- Practice address
- 1541 Gull Rd
Suite 100
Kalamazoo, MI 49048-1639 - Phone
- (269) 381-7380
- Fax
- (269) 341-4562
- NPI assigned
- Apr 12, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301084666 | MI | Primary |
Addresses
Primary practice location
1541 Gull Rd
Suite 100
Kalamazoo, MI 49048-1639
Mailing address
1541 Gull Rd
Suite 100
Kalamazoo, MI 49048-1639
Phone (269) 381-7380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4778322 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165
1541 Gull Rd
Suite 100
Kalamazoo, MI 49048-1645
Phone (269) 226-5290
3035 Capital Ave SW
Battle Creek, MI 49015-4334
7901 Angling Rd
Portage, MI 49024-0714
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301084666 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promed Healthcare | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Current | Accepting new patients | |
| Beacon Kalamazoo Inc | Current | Accepting new patients | |
| Beacon Kalamazoo Inc | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Current | Accepting new patients | |
| Beacon Kalamazoo Inc | Current | Accepting new patients |
Locations
3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100
1541 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264
1541 Gull Rd
Ste 100
Kalamazoo, MI 49048
Phone (269) 226-5290
1717 Shaffer St
Ste 229
Kalamazoo, MI 49048
Phone (269) 381-0764
3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264
215 E Mansion St
Ste 1H
Marshall, MI 49068
Phone (269) 789-0025
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beacon Medical Group Michigan
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
dba Beacon Kalamazoo
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
dba Beacon Medical Group Michigan
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
dba Compassus Home Health
- Home Health Agency
- Portage, MI
- NPI 1083670418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033173794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 GULL RD",
"address_2": "SUITE 100",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481639",
"telephone_number": "269-381-7380",
"fax_number": "269-341-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 GULL RD",
"address_2": "SUITE 100",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481639",
"telephone_number": "269-381-7380",
"fax_number": "269-341-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIDHARAN",
"first_name": "SUGANDHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301084666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4778322",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.