Active NPI
Lakshmi V. Pandrangi, M.D.
- Family Medicine Physician
- St. Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301077786
- Practice address
- Henry Ford Health System
24725 E. Jefferson
St. Clair Shores, MI 48080 - Phone
- (586) 774-7800
- Fax
- (586) 771-0730
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301077786 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
24725 E. Jefferson
St. Clair Shores, MI 48080
Mailing address
Henry Ford Health System
24725 E. Jefferson
St. Clair Shores, MI 48080
Phone (586) 774-7800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464323210 | Medicaid | MI | |
| 080H262390 | Other | BLUE CROSS-BLUE CROSS | |
| LP077786 | Other | CHAMPUS-CHAMPUS | |
| LP077786 | Other | COMMERCIAL-COMMERCIAL NUMBER |
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
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
24725 Jefferson Ave
Saint Clair Shores, MI 48080-4500
Phone (586) 774-7800
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605
Hospital & facility affiliations
- Henry Ford Home Health Care
- Henry Ford Health Hospital
- Henry Ford Macomb Hospital
- Beaumont Hospital - Grosse Pointe
- Henry Ford Health St John Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077786 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Henr Y Ford Health System | Family Medicine | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| William Beaumont Hospital | Family Medicine | Current | Accepting new patients |
| Emergency Physicians of Northwest Ohio Inc. | Emergency Medicine | Past | Accepting new patients |
| Observation Physicians of Northwest Ohio LLC | Emergency Medicine | Past | Accepting new patients |
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Locations
1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
30503 Greenfield Rd
Southfield, MI 48076
Phone (248) 691-4732
24725 Jefferson Ave
St Clr Shores, MI 48080
Phone (586) 447-3680
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
22505 Allen Rd
Woodhaven, MI 48183
Phone (734) 671-6217
Interoperability endpoints
- lpandrangi1250024@epic00.shdirect.org
- lpandrangi16806@direct.hfhs.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1083833875
-
- Family Medicine Physician
- Detroit, MI
- NPI 1952485351
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Family Medicine Physician
- Royal Oak, MI
- NPI 1326097148
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- Children's Substance Abuse Rehabilitation Facility
- West Bloomfield, MI
- NPI 1295767630
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1043274418
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Home Health Agency
- Detroit, MI
- NPI 1932162096
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1043384555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "24725 E. JEFFERSON",
"city": "ST. CLAIR SHORES",
"state": "MI",
"postal_code": "48080",
"telephone_number": "586-774-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "24725 E. JEFFERSON",
"city": "ST. CLAIR SHORES",
"state": "MI",
"postal_code": "48080",
"telephone_number": "586-774-7800",
"fax_number": "586-771-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDRANGI",
"first_name": "LAKSHMI",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301077786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "464323210",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "080H262390",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "LP077786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "LP077786",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.