Active NPI
Gordon Srkalovic, MD
- Hematology & Oncology Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4301082787
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103310801 | Other | MI | BCBS INDIVIDUAL PIN |
| 4550714 | 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
- Hematology/Oncology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- University of Michigan Health - Sparrow Eaton
- University of Michigan Health- Sparrow Clinton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Hematology & Oncology | Current | Accepting new patients |
| Sparrow Eaton Hospital | Internal Medicine | Current | Accepting new patients |
| Sparrow Ionia Hospital | Internal Medicine | Current | Accepting new patients |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Sparrow Eaton Hospital | Current | Accepting new patients | |
| Sparrow Eaton Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Hematology & Oncology | Current | 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
- 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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Internal Medicine Physician
- Carson City, MI
- NPI 1598490542
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Multi-Specialty Clinic/Center
- Saint Johns, MI
- NPI 1306893078
-
- Orthopaedic Surgery Physician
- Charlotte, MI
- NPI 1043419427
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Hematology & Oncology Physician
- Lansing, MI
- NPI 1174562649
-
- Cardiovascular Disease Physician
- Carson City, MI
- NPI 1063245694
-
- Obstetrics & Gynecology Physician
- Carson City, MI
- NPI 1902153083
Hematology & Oncology
-
- School Nurse Practitioner
- East Lansing, MI
- NPI 1063227486
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.