Individual provider Active NPI

Aishwariya Mudunuri

  • Physician Assistant
  • East Lansing, MI
National Provider Identifier
1811851470
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013544 Issued in MI
Practice address
1650 Ramblewood Dr Ste 300
East Lansing, MI 48823-7396
Phone
(517) 332-1200
Fax
(517) 351-7122
NPI assigned
Dec 9, 2025
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601013544 MI Primary

Addresses

Primary practice location

1650 Ramblewood Dr Ste 300
East Lansing, MI 48823-7396

Mailing address

6185 Smithfield Dr
Troy, MI 48085-1081
Phone (248) 878-1032

Other practice location 1

1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120
Phone (248) 884-9710

Other practice location 2

310 S Maple Rd
Ann Arbor, MI 48103-3833
Phone (734) 794-3494

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206001031 MI Practitioner - Physician Assistant 4981183340 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14671 Telegraph Rd
Redford, MI 48239-3300

1701 S Blvd E
Rochester Hills, MI 48307-6120

6185 Smithfield Dr
Troy, MI 48085-1081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601013544MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Urgent Care Walk-in Clinic PC CurrentSince Jan 2, 2026 Accepting new patients
Troy Gastroenterology, PC CurrentSince Apr 1, 2026 Accepting new patients
Plainwell Urgent Care Walk-in Clinic PC CurrentSince Jan 2, 2026 Accepting new patients
Tecumseh Urgent Care and Walk-in Clinic PC CurrentSince Jan 2, 2026 Accepting new patients
MD Urgent Care Ann Arbor PC CurrentSince Jan 2, 2026 Accepting new patients
Main St Urgent Care Clinic and Walk in Clinic PC CurrentSince Jan 2, 2026 Accepting new patients
Lambertville Urgent Care Walk in Clinic CurrentSince Jan 2, 2026 Accepting new patients
Battle Creek Urgent Care Walk in Clinic PC Past Accepting new patients

Locations

905 N Main St
Adrian, MI 49221
Phone (517) 263-7300

310 S Maple Rd
Ann Arbor, MI 48103
Phone (734) 720-6161

1301 S Main St
Chelsea, MI 48118
Phone (517) 577-6418

1650 Ramblewood Dr
Ste 100
East Lansing, MI 48823

1650 Ramblewood Dr
Ste 300
East Lansing, MI 48823

3299 Sterns Rd
Lambertville, MI 48144
Phone (734) 720-6161

1221 M 89
Ste 200
Plainwell, MI 49080
Phone (517) 662-3144

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

501 E Chicago Blvd
Tecumseh, MI 49286
Phone (517) 662-3144

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1811851470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 SMITHFIELD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851081",
            "telephone_number": "248-878-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 RAMBLEWOOD DR STE 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237396",
            "telephone_number": "517-332-1200",
            "fax_number": "517-351-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 South Blvd E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483076120",
            "country_code": "US",
            "telephone_number": "248-884-9710",
            "fax_number": "248-884-9711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 S Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481033833",
            "country_code": "US",
            "telephone_number": "734-794-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUDUNURI",
        "first_name": "AISHWARIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.