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DR. LALITHA GUNDAMRAJ M.D
NPI 1164624912
Pediatrics - Neonatal-Perinatal Medicine in Lansing, MI

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment
1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-2670(517) 364-3994 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lalitha Gundamraj M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LALITHA GUNDAMRAJ M.D (NPI 1164624912) is an individual neonatal-perinatal medicine provider in Lansing, Michigan, licensed in Michigan (4301097558) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1164624912
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. LALITHA GUNDAMRAJCredential: M.D
Location Address1215 E MICHIGAN AVELansing, MI 48912-1811
Mailing Address804 Service Rd, A201East Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928
Phone(517) 364-2670
Fax(517) 364-3994
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 4, 2007
Last NPPES UpdateJune 22, 2016
✔ NPI 1164624912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MI · 4301097558
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1215 E MICHIGAN AVE, Lansing, MI 48912
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Other Identifiers 1

Medicaid1164624912MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lalitha Gundamraj M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274692587
PECOS Enrollment IDI20260601001353
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL FRANCIS BOUCHARD D.O.
Family Medicine
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912
Ingham County (231) 955-3360
DR. JESSICA FROST MD
Obstetrics & Gynecology
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5610
MR. GARRETT SMIGELSKI PA-C
Physician Assistant
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-3380
DR. AMY RENEE DRABANT DO
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
DR. EVAN DAVID TYSON BRUCE MD
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
JANA HAIDAR AHMAD MD
Family Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5710
MR. ANDREW SIDNEY COOPER CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789
MS. KARI LYN FORRO CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lalitha Gundamraj's NPI number?

The NPI number for Lalitha Gundamraj is 1164624912. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Lalitha Gundamraj located?

Lalitha Gundamraj practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-2670.

What is Lalitha Gundamraj's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Lalitha Gundamraj enrolled in Medicare?

Yes. Lalitha Gundamraj is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lalitha Gundamraj accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Lalitha Gundamraj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lalitha Gundamraj was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.