MR. SHASHANK VODAPALLY (DO) – Physical Medicine & Rehabilitation Physician, NPI 1063975647

MR. SHASHANK VODAPALLY (DO) is a healthcare provider. based in Lansing, Michigan. specializing in PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. 5101027901 (MI). The NPI Number for MR. SHASHANK VODAPALLY (DO) is 1063975647

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. SHASHANK VODAPALLY (DO)
NPI
1063975647
Phone
(517) 353-6740
Address
1200 E MICHIGAN AVE STE 520
Enumeration Date
10 April 2019
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
3779924105
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20240515003826
Address ID
MI495463808GR5060XSEXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

259 PAIN MANAGEMENT in MI

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Provider Addresses for MR. SHASHANK VODAPALLY (DO)

  • 520, East Michigan Avenue, Stadium District, Lansing, Ingham County, Michigan, 48912, United States

    LANSING, MI 489121899

    Phone: (517) 353-6740

    Type: Location

  • 35, Summer Hill Court, Cheshire, New Haven County, Connecticut, 06410, United States

    CHESHIRE, CT 064101361

    Phone: (203) 631-1104

    Type: Mailing

  • 245 CHERRY ST SE STE 300

    GRAND RAPIDS, MI 495034607

    Phone: (616) 685-5050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $3,696.

Total Amount is formed as General ($3,696) + Research ($0) + Ownership ($0) = $3,696.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($1,352).

Total Amount

$3,696

General + Research + Ownership

Payments

47

Total payment records

General Amount

$3,696

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240515003826IPain ManagementMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is MR. SHASHANK VODAPALLY (DO)'s NPI number?
MR. SHASHANK VODAPALLY (DO)'s NPI is 1063975647 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MR. SHASHANK VODAPALLY (DO)?
You should see MR. SHASHANK VODAPALLY (DO) as active in CMS-hosted NPPES data.
What expertise is attributed to MR. SHASHANK VODAPALLY (DO)?
MR. SHASHANK VODAPALLY (DO)'s specialty line reads Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. SHASHANK VODAPALLY (DO)?
Directory geography for MR. SHASHANK VODAPALLY (DO) centers on Lansing, Michigan.
When was this NPI issued?
Enumeration for MR. SHASHANK VODAPALLY (DO) is noted as April 10, 2019 where the registry provides it.

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