Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134182009 Individual Practitioner Female Practitioner

Dr. Ashweena Gonuguntla , MD

Pediatrics • East Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Ashweena Gonuguntla, MD is a registered healthcare professional specializing in Pediatrics in East Lansing, MI. Practice services are available at 804 SERVICE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

804 Service Rd
Suite A110

East Lansing, MI 488247015

Telephone 5173533003
Fax 5173535514
Associated Practice Facility / Clinic
🏢 Michigan State University Facility NPI 1417033556

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in East Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.7 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
15 Specialists

Practicing in East Lansing, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301087991

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4947612 (MI)
Medicaid State Provider ID
00A839370 (CA)
Medicaid State Provider ID
1134182009 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Marsha Rappley , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1063449247

Doctor of Medicine (M.D.)

Dr. Ashir Kumar , MD

Pediatrics - Pediatric Infectious Diseases

NPI 1174636484

Doctor of Medicine (M.D.)

NPI 1285733162

Doctor of Medicine (M.D.)

Peggy Crum , RD

Dietitian, Registered

NPI 1538385232

Registered Dietitian

NPI 1861464331

Doctor of Medicine (M.D.)

NPI 1881602316

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address December 10, 2018

Registered at 804 SERVICE RD # A109F, EAST LANSING, MI 488247015 (Tel: 5178842976)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2018

Pediatrics (License #4301087991 in MI)

NPI Profile Active August 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2016

Registered at 804 SERVICE RD, SUITE A110, EAST LANSING, MI 488247015 (Tel: 5173533003)

📍
Updated Business Mailing Address August 12, 2016

Registered at 804 SERVICE RD # A201, EAST LANSING, MI 488247015 (Tel: 5178842976)

👤
Provider Name / Credentials Updated August 12, 2016

Recorded as ASHWEENA GONUGUNTLA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2016

Pediatrics (License #A83937 in CA)

🟢
Initial NPI Registration & Enumeration April 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134182009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2006
Last Update: May 15, 2024
Sole Proprietor: No

Mailing Address

804 Service Rd # A109f

East Lansing, MI 488247015

Phone: 5178842976

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.