PATHOLOGY ASSOCIATES OF GRAND RAPIDS, P.C.
NPI 1184636821
Pathology - Anatomic Pathology & Clinical Pathology in Grand Rapids, MI
About Pathology Associates Of Grand Rapids, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATHOLOGY ASSOCIATES OF GRAND RAPIDS, P.C. (NPI 1184636821) is a healthcare organization registered as an anatomic pathology & clinical pathology in Grand Rapids, Michigan and active in the NPI registry since August 2006. The organization maintains 2 additional practice locations and lists Sarat C Khandavalli, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pathology Associates Of Grand Rapids, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Pathology Associates Of Grand Rapids, P.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pathology Associates Of Grand Rapids, P.C.'s NPI number?
The NPI number for Pathology Associates Of Grand Rapids, P.C. is 1184636821. It was assigned to this organization in the NPPES registry on August 12, 2006.
Where is Pathology Associates Of Grand Rapids, P.C. located?
Pathology Associates Of Grand Rapids, P.C. is located at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 364-6700.
What is Pathology Associates Of Grand Rapids, P.C.'s specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Pathology Associates Of Grand Rapids, P.C. enrolled in Medicare?
Yes. Pathology Associates Of Grand Rapids, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pathology Associates Of Grand Rapids, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Pathology, reassign their Medicare billing to Pathology Associates Of Grand Rapids, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pathology Associates Of Grand Rapids, P.C. accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Pathology Associates Of Grand Rapids, P.C. 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 Pathology Associates Of Grand Rapids, P.C. was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Pathology Associates Of Grand Rapids, P.c. · NPI 1184636821
Anatomic Pathology & Clinical Pathology organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1184636821 (Entity type: Organization)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** Sarat Khandavalli, PRESIDENT
## Practice location
- **Address:** 200 JEFFERSON AVE SE, Grand Rapids, MI 49503
- **Phone:** (616) 364-6700 · **Fax:** (616) 364-4960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2025
- **Other identifiers:** Medicaid 1295996916 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1184636821) · Data from the CMS NPPES public registry.