Individual provider Active NPI

Gursharn Singh Dosanjh, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Grandville, MI
National Provider Identifier
1225110992
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
GD046835 Issued in MI
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

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Grand Rapids, MI, CCN 230038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GD046835MIMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gursharn S Dosanjh MD PC CurrentSince Jan 1, 1999 Accepting new patients

Locations

585 36th St SW
Wyoming, MI 49509
Phone (616) 531-1871

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGAHBA/Endpoint/HGAHBA
  • FHIR API: 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

Verify at the official NPI Registry.