Active NPI
Sai Lakshmi Kanneganti, MD
- General Practice Physician
- Dearborn, MI
National Provider Identifier
1619947819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301052238
- Practice address
- 5050 Schaefer Rd
Dearborn, MI 48126-3249 - Phone
- (313) 581-2600
- Fax
- (313) 581-0228
- NPI assigned
- Jan 23, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301052238 | MI | Primary |
Addresses
Primary practice location
5050 Schaefer Rd
Dearborn, MI 48126-3249
Mailing address
37610 Dorchester Dr
Farmington Hills, MI 48331-1860
Phone (810) 788-1276
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3250268 | Medicaid | MI | |
| 110Q262840 | Other | MI | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200328000074 | MI | Order and Referring Only - Internal Medicine | 4688758956 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Psychiatric & Medical Services | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1376692665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619947819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37610 DORCHESTER DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483311860",
"telephone_number": "810-788-1276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263249",
"telephone_number": "313-581-2600",
"fax_number": "313-581-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNEGANTI",
"first_name": "SAI",
"middle_name": "LAKSHMI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301052238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3250268",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "110Q262840",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.