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

Mr. Shashank Vodapally, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063975647

Mr. Shashank Vodapally, DO is a Pain Management in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

245 Cherry St SE Ste 300
Grand Rapids, MI 49503-4607
Phone: (616) 685-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 5101027901 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063975647
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address35 Summer Hill Ct, Cheshire, CT 06410-1361

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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