Individual provider Active NPI

Anshu Wadehra, MD

  • Gastroenterology Physician
  • Lansing, MI
National Provider Identifier
1124524392
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301505488 Issued in MI
Practice address
2909 E Grand River Ave Ste 102
Lansing, MI 48912-4335
Phone
(517) 364-8623
NPI assigned
Apr 4, 2018
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301505488 MI Primary

Addresses

Primary practice location

2909 E Grand River Ave Ste 102
Lansing, MI 48912-4335

Mailing address

1536 Napa
Canton, MI 48187-7700

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
I20250812003772 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 9032464383 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2909 E Grand River Ave
Suite 102
Lansing, MI 48912-4335
Phone (517) 253-6320

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Ionia Hospital CurrentSince Sep 15, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince Sep 15, 2025 Accepting new patients
Edward W Sparrow Hospital Association Gastroenterology CurrentSince Sep 15, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 15, 2025 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Sparrow Ionia Hospital Gastroenterology CurrentSince Sep 15, 2025 Accepting new patients
Sparrow Carson Hospital Gastroenterology CurrentSince Sep 15, 2025 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

4201 Saint Antoine St
Ste 2E
Detroit, MI 48201
Phone (313) 745-6252

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

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

550 E Washington St
Fl 1
Ionia, MI 48846

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

2909 E Grand River Ave
Ste 102
Lansing, MI 48912
Phone (517) 364-8670

2909 E Grand River Ave
Ste 201
Lansing, MI 48912
Phone (517) 253-3050

Organizations & group practices 9

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 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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1124524392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 NAPA",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481877700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 E GRAND RIVER AVE STE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124335",
            "telephone_number": "517-364-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADEHRA",
        "first_name": "ANSHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301505488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.