Individual provider Active NPI

Gordon Srkalovic, MD

  • Hematology & Oncology Physician
  • Lansing, MI
National Provider Identifier
1780783282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301082787 Issued in MI
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-2890
Fax
(517) 364-2886
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301082787 MI Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253

Other identifiers 2

IdentifierTypeStateIssuer
1103310801OtherMIBCBS INDIVIDUAL PIN
4550714MedicaidMI

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
I20040320000253 MI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6800787946 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Practice addresses (Care Compare)

1140 E Michigan Ave
Lansing, MI 48912-1806

1215 E Michigan Ave
Lansing, MI 48912-1811

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Jun 5, 2017 Accepting new patients
Sparrow Carson Hospital Hematology & Oncology CurrentSince May 8, 2017 Accepting new patients
Sparrow Eaton Hospital Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Sparrow Ionia Hospital Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jun 5, 2017 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Carson Hospital CurrentSince May 8, 2017 Accepting new patients
Sparrow Ionia Hospital CurrentSince Dec 7, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 1, 2013 Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Aug 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association Hematology & Oncology CurrentSince Sep 1, 2013 Accepting new patients
Sparrow Carson Hospital Internal Medicine Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

123 Lansing St
Ste 3C
Charlotte, MI 48813
Phone (517) 543-9564

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1140 E Michigan Ave
Ste 200
Lansing, MI 48912
Phone (517) 364-9400

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1140 E Michigan Ave
Ste 100
Lansing, MI 48912
Phone (517) 364-9402

901 S Oakland St
Ste 201
Saint Johns, MI 48879
Phone (989) 224-2338

901 S Oakland St
Saint Johns, MI 48879
Phone (517) 227-2338

Interoperability endpoints

  • Direct secure messaging: gsrkalovic15726@sparrowdirecthie.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780783282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "517-364-6253",
            "fax_number": "517-364-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-2890",
            "fax_number": "517-364-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRKALOVIC",
        "first_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301082787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PIN",
            "identifier": "1103310801",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4550714",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.