Active NPI
Ananda Vishnu Pandurangadu, M.D.
- Emergency Medicine Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036140062
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Rush University Medical Group | Emergency Medicine | Current | Accepting new patients |
| Epic Group-Emergency Physicians an Illinois Concern S.C. | Emergency Medicine | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Rush Oak Park ER Physicians Group | Current | Accepting new patients | |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | 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
- apandurangadu127917@direct.rush.rush-health.com
- 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Oak Park, IL
- NPI 1447260880
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Emergency Medicine
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Emergency Medicine Physician
- Yorkville, IL
- NPI 1407379423
-
- Emergency Medicine Physician
- Morris, IL
- NPI 1447283569
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Emergency Medicine Physician
- Aurora, IL
- NPI 1508389628
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1154908929
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.