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

Rangarao Panguluri, MD

Individual provider Internal Medicine Physician · NPI 1619952405

Rangarao Panguluri, MD is a Gastroenterology in Jackson, Michigan. Qualified in 1976, 50 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
50
Licensed in
CA, MI
In the registry since
2005
Specialties on file
3
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

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-7836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4111 Maine Ave, Baldwin Park, CA 91706-3307 — (626) 960-3016

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301051147 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301051147 (MI)
Gastroenterology Physician Taxonomy 207RG0100X · Licence A52987 (CA)

Record details

NPI number1619952405
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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