NPIMap

Organization Active NPI

West Michigan Pain Center PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Grand Rapids, MI
National Provider Identifier
1447973060
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
WEST MICHIGAN PAIN CENTER PC
Practice address
4024 Park East CT SE
Grand Rapids, MI 49546-8810
Phone
(616) 727-0083
Fax
(866) 493-3535
NPI assigned
Sep 20, 2022
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Girish Juneja, MDNPI 1114904349
Title
Owner
Phone
(616) 460-3164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X Primary

Addresses

Primary practice location

4024 Park East CT SE
Grand Rapids, MI 49546-8810

Mailing address

4024 Park East CT SE
Grand Rapids, MI 49546-8810
Phone (616) 727-0083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221017000292 MI Part B Supplier - Clinic/Group Practice 1355717331 Receives reassigned benefits from 15 practitioners
Practice locations: Grand Rapids, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2140715West Michigan Pain4024 Park East Court SE, Suite D, Grand Rapids, MI 49546Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory

Locations

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1447973060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 PARK EAST CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468810",
            "telephone_number": "616-727-0083",
            "fax_number": "866-493-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 PARK EAST CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468810",
            "telephone_number": "616-727-0083",
            "fax_number": "866-493-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN PAIN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "JUNEJA",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-460-3164",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.