Active NPI
Srinivas K. Janardan, M.D.
- Gastroenterology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301060361
- Practice address
- 310 Lafayette Ave SE
Ste 400
Grand Rapids, MI 49503-4693 - Phone
- (616) 752-6525
- Fax
- (616) 752-6556
- NPI assigned
- Jun 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301060361 | MI | |
| Gastroenterology Physician | 207RG0100X | 4301060361 | MI | Primary |
Addresses
Primary practice location
310 Lafayette Ave SE
Ste 400
Grand Rapids, MI 49503-4693
Mailing address
310 Lafayette Ave SE
Ste 400
Grand Rapids, MI 49503-4693
Phone (616) 752-6525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3256628 | Medicaid | MI |
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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Northwestern University Feinberg Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850
310 Lafayette Ave SE
Grand Rapids, MI 49503-4693
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 43 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301060361 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients | |
| Grand River Gastroenterology PC | Specialist | Current | Accepting new patients |
| Advantage Health Saint Mary'S Medical Group | Current | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Current | Accepting new patients | |
| Grand River Endoscopy Center, L.L.C. | Current | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
310 Lafayette Ave SE
Ste 4
Grand Rapids, MI 49503
Phone (616) 752-6525
310 Lafayette Ave SE
Ste 40
Grand Rapids, MI 49503
Phone (616) 752-6525
310 Lafayette Ave SE
Ste 400
Grand Rapids, MI 49503
Phone (616) 752-6525
Interoperability endpoints
- sjanardan27399@direct.trinity-health.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
-
- Ambulatory Surgical Clinic/Center
- Grand Rapids, MI
- NPI 1043288467
-
- Gastroenterology Physician
- Grand Rapids, MI
- NPI 1164470472
Specialist
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1770588279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 LAFAYETTE AVE SE",
"address_2": "STE 400",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034693",
"telephone_number": "616-752-6525",
"fax_number": "616-752-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 LAFAYETTE AVE SE",
"address_2": "STE 400",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034693",
"telephone_number": "616-752-6525",
"fax_number": "616-752-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANARDAN",
"first_name": "SRINIVAS",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301060361",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301060361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3256628",
"state": "MI"
}
],
"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 Mar 2, 2023; 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.