DR. SURENDER RAJASEKARAN MD
NPI 1922001668
Pediatrics - Pediatric Critical Care Medicine in Grand Rapids, MI

Active since May 26, 2005
100 MICHIGAN ST NE, MC 117, GRAND RAPIDS, MI 49503(616) 267-0118(616) 267-0090 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2022, Feb 19, 2021, Aug 10, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Surender Rajasekaran Md NPPES

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

DR. SURENDER RAJASEKARAN MD (NPI 1922001668) is an individual pediatric critical care medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301094493) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1922001668
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. SURENDER RAJASEKARANCredential: MD
Location Address100 MICHIGAN ST NE, MC 117Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(616) 267-0090
Sole ProprietorNo
Enumeration DateMay 26, 2005
Last NPPES UpdateApril 20, 20224 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1922001668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in MI · 4301094493
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 4301094493 (MI)
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 4301094493 (MI)
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Accepted Insurance

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.

Emergency Medicine (Emergency Medical Services)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Hematology-Oncology)
100 MICHIGAN ST NE, MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503
Pediatrics (Neonatal-Perinatal Medicine)
100 MICHIGAN ST NE, MC 845 ATTN
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922001668, enumerated as an "individual" on May 26, 2005.

The provider is located at 100 MICHIGAN ST NE MC 117 GRAND RAPIDS, MI 49503 and the phone number is (616) 267-0118.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: McLaren Health Plan Community and Priority Health. Please consult your insurance carrier or call the provider to verify.