Individual provider Active NPI

Narasimha R. Gundamraj, M.D.

  • Interventional Pain Medicine Physician
  • Lansing, MI
National Provider Identifier
1083661805
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
4301083310 Issued in MI
Practice address
1540 Lake Lansing Rd
Suite G06
Lansing, MI 48912-3756
Phone
(517) 482-7246
Fax
(517) 484-7377
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A92369 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X 4301083310 MI
Interventional Pain Medicine Physician 208VP0014X 4301083310 MI Primary

Addresses

Primary practice location

1540 Lake Lansing Rd
Suite G06
Lansing, MI 48912-3756

Mailing address

1540 Lake Lansing Rd
Suite G06
Lansing, MI 48912-3756
Phone (517) 482-7246

Other identifiers 2

IdentifierTypeStateIssuer
00A923690OtherBLUE SHIELD
00A923690MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000155 MI Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 0749256154 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians
Anesthesia and Pain ManagementGroup PAC ID 6103913496, 6 clinicians
Mid-Michigan Pain Center PLLCGroup PAC ID 1850730060, 6 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave Lowr Level
Sparrow Pain Management Center
Lansing, MI 48912-1800
Phone (517) 364-5330

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 482-7246

1540 Lake Lansing Rd
G6
Lansing, MI 48912-3757

205 S Dexter St
Sparrow Ionia Pain Center
Ionia, MI 48846-2001
Phone (616) 523-1644

2900 Hannah Blvd
Suite B102
East Lansing, MI 48823-5374
Phone (517) 364-8070

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Sep 1, 2023 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Aug 15, 2021 Accepting new patients
Edward W Sparrow Hospital Association Pain Medicine CurrentSince Aug 15, 2021 Accepting new patients
Anesthesia and Pain Management Anesthesiology CurrentSince Jun 14, 2010 Accepting new patients
Sparrow Ionia Hospital CurrentSince Sep 1, 2023 Accepting new patients
Mid-Michigan Pain Center PLLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Michigan Pain Management Specialists PC Past Accepting new patients
Lansing Anesthesia Associates Anesthesiology Past Accepting new patients
Uscan Anesthesiology Medical Group, Inc. Anesthesiology Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050

205 S Dexter St
Ionia, MI 48846
Phone (517) 482-7246

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

1200 E Michigan Ave
Lowr
Lansing, MI 48912
Phone (517) 364-5252

1540 Lake Lansing Rd
Ste G
Lansing, MI 48912

1540 Lake Lansing Rd
Ste G6
Lansing, MI 48912
Phone (517) 482-7246

1200 E Michigan Ave
Ste Ll
Lansing, MI 48912

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1200 E Michigan Ave
Lansing, MI 48912
Phone (517) 267-2460

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1083661805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD",
            "address_2": "SUITE G06",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123756",
            "telephone_number": "517-482-7246",
            "fax_number": "517-484-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD",
            "address_2": "SUITE G06",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123756",
            "telephone_number": "517-482-7246",
            "fax_number": "517-484-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDAMRAJ",
        "first_name": "NARASIMHA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A92369",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301083310",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301083310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A923690",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A923690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.