Individual provider Active NPI

Lakshman Gollapalli, M.D.

  • Interventional Pain Medicine Physician
  • Chandler, AZ
National Provider Identifier
1578850756
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
58632 Issued in AZ
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 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

IdentifierTypeStateIssuer
525676MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190927002983 AZ Practitioner - AnesthesiologyPractitioner - Pain Management 5496064081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians

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

LicenseStateTypeSpecialty
E-9046ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners & Management LLC Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Ascend Anesthesia LLC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Advanced Pain Modalities, PLC Pain Medicine CurrentSince Jun 28, 2021 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.

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": "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

Verify at the official NPI Registry.