Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Pranav Kidambi, MD

Individual provider Pulmonary Disease Physician · NPI 1861892556

Dr. Pranav Kidambi, MD is a Pulmonary Disease in Grand Rapids, Michigan. Qualified in 2013, 13 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4100 Lake Dr SE Ste 200
Grand Rapids, MI 49546-8292
Phone: (616) 267-8244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 4301501996 (MI)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 4301501996 (MI)

Record details

NPI number1861892556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2014
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

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