Individual provider Active NPI

Sathyanarayan Sudhanthar, MD

  • Pediatrics Physician
  • Okemos, MI
National Provider Identifier
1689685802
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301084257 Issued in MI
Practice address
1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394
Phone
(517) 349-6560
Fax
(517) 349-5796
NPI assigned
Aug 11, 2006
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301084257 MI Primary

Addresses

Primary practice location

1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 349-6560

Other practice location 1

1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897
Phone (517) 364-5440

Other practice location 2

13750 S Sedona Pkwy
Lansing, MI 48906-8101
Phone (517) 353-4000

Other practice location 3

5303 S Cedar St
Lansing, MI 48911-3800
Phone (517) 887-4320

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
I20070613000213 MI Practitioner - Pediatric Medicine 2567560691 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University CurrentSince Feb 24, 2012 Accepting new patients
Michigan State University Pediatrics CurrentSince Feb 24, 2012 Accepting new patients
Capital Area Pathologists, PC Current Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Current Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Current Accepting new patients
Michigan State University Current Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
County of Ingham Past Accepting new patients

Locations

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Rm A110
East Lansing, MI 48824
Phone (517) 353-3003

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

1200 E Michigan Ave
Ste 145
Lansing, MI 48912
Phone (517) 364-5440

13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906
Phone (517) 353-4000

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

Interoperability endpoints

  • Direct secure messaging: sathyanarayan.sudhantharmd.p1@direct.ichd.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1689685802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-349-6560",
            "fax_number": "517-349-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W GRAND RIVER AVE STE 2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642394",
            "telephone_number": "517-349-6560",
            "fax_number": "517-349-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Michigan Ave Ste 145",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121897",
            "country_code": "US",
            "telephone_number": "517-364-5440",
            "fax_number": "517-364-5409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13750 S Sedona Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489068101",
            "country_code": "US",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5303 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489113800",
            "country_code": "US",
            "telephone_number": "517-887-4320",
            "fax_number": "517-887-4403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDHANTHAR",
        "first_name": "SATHYANARAYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301084257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.