Active NPI
Gursharn Singh Dosanjh, MD
- Adolescent Medicine (Internal Medicine) Physician
- Grandville, MI
National Provider Identifier
1225110992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- GD046835
- Practice address
- 3181 Prairie St SW
Suite 101 B
Grandville, MI 49418-2097 - Phone
- (616) 531-1871
- Fax
- (616) 531-7323
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | GD046835 | MI | Primary |
Addresses
Primary practice location
3181 Prairie St SW
Suite 101 B
Grandville, MI 49418-2097
Mailing address
3181 Prairie St SW
Suite 101 B
Grandville, MI 49418-2097
Phone (616) 531-1871
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040630000029 | MI | Practitioner - Internal Medicine | 7810973096 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
585 36TH St SW
Wyoming, MI 49509-4002
Phone (616) 531-1871
Hospital & facility affiliations
- Spectrum Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GD046835 | MI | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gursharn S Dosanjh MD PC | Current | Accepting new patients |
Locations
585 36th St SW
Wyoming, MI 49509
Phone (616) 531-1871
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGAHBA/Endpoint/HGAHBA
- https://fhir4.healow.com/fhir/r4/HGAHBA
Organizations & group practices 1
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": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1225110992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 PRAIRIE ST SW",
"address_2": "SUITE 101 B",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182097",
"telephone_number": "616-531-1871",
"fax_number": "616-531-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 PRAIRIE ST SW",
"address_2": "SUITE 101 B",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182097",
"telephone_number": "616-531-1871",
"fax_number": "616-531-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSANJH",
"first_name": "GURSHARN",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "MI",
"license": "GD046835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.