Individual provider Active NPI

Ananda Vishnu Pandurangadu, M.D.

  • Emergency Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1891963641
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036140062 Issued in IL
Practice address
1 Genesys Pkwy
Dept of Emergency Medicine, Genesys Regional Med Ctr
Grand Blanc, MI 48439-8065
Phone
(810) 606-5933
NPI assigned
Feb 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036140062 IL Primary
Emergency Medicine Physician 207P00000X 4301090750 MI

Addresses

Primary practice location

1 Genesys Pkwy
Dept of Emergency Medicine, Genesys Regional Med Ctr
Grand Blanc, MI 48439-8065

Mailing address

1 Genesys Pkwy
Dept of Emergency Medicine, Genesys Regional Med Ctr
Grand Blanc, MI 48439-8065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160712000347 IL Practitioner - Emergency Medicine 2466578455 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush Oak Park ER Physicians GroupGroup PAC ID 8820190606, 29 clinicians

Practice addresses (Care Compare)

520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-2240

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Dec 17, 2021 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Rush University Medical Group Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Epic Group-Emergency Physicians an Illinois Concern S.C. Emergency Medicine CurrentSince Dec 3, 2019 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Jul 9, 2018 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 3, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 1, 2019 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jun 1, 2019 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 17, 2021 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 3, 2018 Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1653 W Congress Pkwy
#177
Chicago, IL 60612
Phone (312) 947-0229

75 Remittance Dr
Dept 1620
Chicago, IL 60675

29373 Network Pl
Chicago, IL 60673

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

150 W High St
Morris, IL 60450
Phone (815) 942-2129

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Interoperability endpoints

  • Direct secure messaging: apandurangadu127917@direct.rush.rush-health.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1891963641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "address_2": "DEPT OF EMERGENCY MEDICINE, GENESYS REGIONAL MED CTR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "address_2": "DEPT OF EMERGENCY MEDICINE, GENESYS REGIONAL MED CTR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "810-606-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDURANGADU",
        "first_name": "ANANDA",
        "middle_name": "VISHNU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036140062",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301090750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.