NPIMap

Individual provider Active NPI

Girish Juneja, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Big Rapids, MI
National Provider Identifier
1114904349
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
4301069459 Issued in MI
Practice address
20095 Gilbert Rd
Big Rapids, MI 49307-2365
Phone
(231) 592-1360
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301069459 MI Primary

Addresses

Primary practice location

20095 Gilbert Rd
Big Rapids, MI 49307-2365

Mailing address

20095 Gilbert Rd
Big Rapids, MI 49307-2365
Phone (231) 592-1360

Other identifiers 2

IdentifierTypeStateIssuer
3461754MedicaidMI
4603498MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000386 MI Practitioner - Pain ManagementPractitioner - General PracticePractitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1850377896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Pain Center PCGroup PAC ID 1355717331, 4 clinicians
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

4024 Park E CT SE
Grand Rapids, MI 49546-8810
Phone (616) 727-0083

5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301069459MIMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Pain Center PC Pain Medicine CurrentSince Sep 30, 2022 Accepting new patients
Michigan Primary Care Partners P C Pain Medicine CurrentSince Apr 1, 1998 Accepting new patients
West Michigan Pharmacy LLC PastSince Nov 14, 2014 Accepting new patients
Labtox, LLC PastSince Nov 5, 2014 Accepting new patients

Locations

20095 Gilbert Rd
Ste A
Big Rapids, MI 49307
Phone (231) 592-3102

20095 Gilbert Rd
Ste B
Big Rapids, MI 49307
Phone (231) 408-3208

20095 Gilbert Rd
Big Rapids, MI 49307
Phone (231) 305-4095

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

4024 Park East Ct SE
Ste C
Grand Rapids, MI 49546
Phone (616) 458-5100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDADDD/Endpoint/GDADDD
  • FHIR API: https://api.platform.athenahealth.com/17442/brand/2/csg/1/fhir/r4

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.

Hospital & facility affiliations 5

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1114904349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20095 GILBERT RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072365",
            "telephone_number": "231-592-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20095 GILBERT RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072365",
            "telephone_number": "231-592-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEJA",
        "first_name": "GIRISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301069459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3461754",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4603498",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.