Active NPI
Lakshman Gollapalli, M.D.
- Interventional Pain Medicine Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 58632
- Practice address
- 3195 W Ray Rd Ste 1
Chandler, AZ 85226-2417 - Phone
- (480) 756-6789
- Fax
- (480) 246-8902
- NPI assigned
- Jul 7, 2011
- Last updated
- May 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E-9046 | AR | |
| Anesthesiology Physician | 207L00000X | 4301099459 | MI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 58632 | AZ | |
| Interventional Pain Medicine Physician | 208VP0014X | 58632 | AZ | Primary |
Addresses
Primary practice location
3195 W Ray Rd Ste 1
Chandler, AZ 85226-2417
Mailing address
3195 W Ray Rd Ste 1
Chandler, AZ 85226-2417
Phone (480) 756-6789
Other practice location 1
6750 E Broadway Rd
Mesa, AZ 85206-1700
Phone (480) 756-6789
Other practice location 2
1231 Willow Creek Rd Ste B
Prescott, AZ 86301-1405
Phone (480) 756-6789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525676 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (480) 420-4027
1704 W Anklam Rd
Suite 108
Tucson, AZ 85745-2656
Phone (623) 241-6185
3195 W Ray Rd
Suite 1
Chandler, AZ 85226-2417
Phone (480) 756-6789
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-9046 | AR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Partners & Management LLC | Anesthesiology | Current | Accepting new patients |
| Ascend Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Advanced Pain Modalities, PLC | Pain Medicine | Current | Accepting new patients |
| Pinnacle Global Health LLC | Past | Accepting new patients |
Locations
3195 W Ray Rd
Ste 1
Chandler, AZ 85226
Phone (480) 756-6789
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
6750 E Broadway Rd
Mesa, AZ 85206
Phone (480) 396-2484
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
1231 Willow Creek Rd
Ste B
Prescott, AZ 86301
Phone (928) 212-1479
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
815 Ainsworth Dr
Prescott, AZ 86301
Phone (928) 445-2700
8997 E Desert Cove Ave
Fl 1
Scottsdale, AZ 85260
Phone (480) 664-3317
10228 W Coggins Dr
Ste 1
Sun City, AZ 85351
Phone (623) 214-8800
2000 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 820-9141
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
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.
-
- Pain Medicine (Anesthesiology) Physician
- Chandler, AZ
- NPI 1760639058
-
dba Arizona Anesthesia Solutions
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
Anesthesiology, AZ
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1114832417
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Marys Hospital
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265818488
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1578850756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3195 W RAY RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262417",
"telephone_number": "480-756-6789",
"fax_number": "480-246-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3195 W RAY RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262417",
"telephone_number": "480-756-6789",
"fax_number": "480-246-8902"
}
],
"practiceLocations": [
{
"address_1": "6750 E Broadway Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852061700",
"country_code": "US",
"telephone_number": "480-756-6789",
"fax_number": "480-246-8902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1231 Willow Creek Rd Ste B",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863011405",
"country_code": "US",
"telephone_number": "480-756-6789",
"fax_number": "480-246-8902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLLAPALLI",
"first_name": "LAKSHMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E-9046",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301099459",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "58632",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AZ",
"license": "58632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525676",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.