Individual provider Active NPI

Michael Krogulecki, DO

  • Anesthesiology Physician
  • Lansing, MI
National Provider Identifier
1356336630
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5101008920 Issued in MI
Practice address
1200 E Michigan Ave
Suite 370
Lansing, MI 48912-1800
Phone
(517) 484-4451
Fax
(517) 484-0291
NPI assigned
Sep 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5101008920 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Suite 370
Lansing, MI 48912-1800

Mailing address

1200 E Michigan Ave
Suite 370
Lansing, MI 48912-1800
Phone (517) 484-4451

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
I20100825000774 MI Practitioner - Anesthesiology 1456303213 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101008920MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Aug 1, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Grayling Anesthesia Associates PC Anesthesiology CurrentSince Oct 6, 2025 Accepting new patients
Mid Michigan Anesthesiology Group, PC Anesthesiology CurrentSince Dec 31, 2018 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1200 E Michigan Ave
Ste 370
Lansing, MI 48912
Phone (517) 364-5300

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

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356336630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 370",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-484-4451",
            "fax_number": "517-484-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 370",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-484-4451",
            "fax_number": "517-484-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGULECKI",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101008920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.