Individual provider Active NPI

Pankaj Guglani, MD

  • Pain Medicine Physician
  • Clare, MI
National Provider Identifier
1417040379
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
4301085055 Issued in MI
Practice address
602 Beech St Ste 2240
Clare, MI 48617-1400
Phone
(989) 802-8535
NPI assigned
Oct 2, 2006
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301085055 MI
Pain Medicine (Anesthesiology) Physician 207LP2900X 4301085055 MI
Pain Medicine Physician 208VP0000X 4301085055 MI Primary
Interventional Pain Medicine Physician 208VP0014X 4301085055 MI

Addresses

Primary practice location

602 Beech St Ste 2240
Clare, MI 48617-1400

Mailing address

818 W King St Ste 300
Owosso, MI 48867-2117
Phone (989) 729-4190

Other practice location 1

818 W King St
Owosso, MI 48867
Phone (989) 729-4190

Other practice location 2

818 W King St Ste 300
Owosso, MI 48867
Phone (989) 729-4190

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
I20061117000050 MI Practitioner - Pain ManagementPractitioner - Interventional Pain ManagementPractitioner - Anesthesiology 0648278168 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Pain Management
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians
Pain Management Group PLLCGroup PAC ID 1153636576, 7 clinicians
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7390

570 Linn St
Suite 2
Allegan, MI 49010-1572
Phone (269) 686-4300

818 W King St
300 MH Pain Management
Owosso, MI 48867-2117
Phone (989) 729-4190

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301085055MIMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland Interventional Pain Medicine Current Accepting new patients
Memorial Hospital Anesthesiology Current Accepting new patients
Memorial Hospital CurrentSince Jan 1, 2019 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Joseph a. Houle MD PC Current Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients
Mymichigan Medical Center West Branch Interventional Pain Medicine CurrentSince Mar 1, 2022 Accepting new patients
Mymichigan Medical Center West Branch Interventional Pain Medicine Current Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Midland Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Memorial Hospital Anesthesiology CurrentSince Jan 1, 2019 Accepting new patients
Pain Management Group PLLC Pain Medicine CurrentSince Jul 8, 2015 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Mar 1, 2022 Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients

Locations

570 Linn St
Ste 2
Allegan, MI 49010
Phone (269) 673-3619

1469 Mary Ct
Alma, MI 48801
Phone (989) 463-2150

175 E Warwick Dr
Alma, MI 48801
Phone (989) 466-7020

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

315 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-9300

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

602 Beech St
Ste 2240
Clare, MI 48617
Phone (989) 629-8215

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

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

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

555 W Wackerly St
Ste 2600
Midland, MI 48640
Phone (866) 625-3570

555 W Wackerly St
Ste 3625
Midland, MI 48640
Phone (989) 832-4202

818 W King St
Ste 300
Owosso, MI 48867
Phone (989) 729-4190

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

640 Court St
West Branch, MI 48661
Phone (989) 343-3730

Interoperability endpoints

  • Direct secure messaging: p.guglani@memorialhealthcare.midirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1417040379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 300",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672117",
            "telephone_number": "989-729-4190",
            "fax_number": "989-729-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BEECH ST STE 2240",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171400",
            "telephone_number": "989-802-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 W King St",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "48867",
            "country_code": "US",
            "telephone_number": "989-729-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 W King St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "48867",
            "country_code": "US",
            "telephone_number": "989-729-4190",
            "fax_number": "989-729-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUGLANI",
        "first_name": "PANKAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301085055",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301085055",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301085055",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301085055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

Verify at the official NPI Registry.