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MR. JERRY IDICULLA CHANDY N.P.
NPI 1023447695
Nurse Practitioner - Adult Health in Trenton, MI

Active since November 05, 2013PECOS Enrolled
1675 KINGSWAY CT STE 1, TRENTON, MI 48183(734) 676-8530 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jerry Idiculla Chandy N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY IDICULLA CHANDY N.P. (NPI 1023447695) is an individual adult health provider in Trenton, Michigan, licensed in Michigan (4704276954) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1023447695
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. JERRY IDICULLA CHANDYCredential: N.P.
Location Address1675 KINGSWAY CT STE 1Trenton, MI 48183-1958
Mailing Address1675 Kingsway Ct Ste 1Trenton, MI 48183-1958 · (734) 676-8530
Phone(734) 676-8530
Sole ProprietorNo
Enumeration DateNovember 5, 2013
Last NPPES UpdateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1023447695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704276954
1675 KINGSWAY CT STE 1, Trenton, MI 48183
Open in Google Maps ↗

Secondary Practice Location 1

Location 1632 Broadway PhNew York, NY 10012-2614 · Phone (800) 731-4254

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerry Idiculla Chandy N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jerry Chandy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trenton Total Health Care Center PC
Same address
Internal Medicine
1675 KINGSWAY CT
Trenton, MI 48183
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1932270584 (734) 676-8530
Downriver Specialists, P.C.
1.9 mi
Internal Medicine
19727 ALLEN RD, STE 12
Brownstown Twp, MI 48183
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Downriver Specialists PC
  • 5 clinicians in this Medicare group
NPI 1023044542 (734) 479-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services63 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
43 services21 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
22 services20 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48183 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$44.63 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$5.12 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$14.18 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$6.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Chandy's NPI number?

The NPI number for Jerry Chandy is 1023447695. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Jerry Chandy located?

Jerry Chandy practices at 1675 Kingsway Ct Ste 1, Trenton, MI 48183. The listed phone number is (734) 676-8530.

What is Jerry Chandy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jerry Chandy enrolled in Medicare?

Yes. Jerry Chandy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerry Chandy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Chandy reassigns Medicare benefits to 2 organizations: Trenton Total Health Care Center PC (Trenton, MI) and Downriver Specialists, P.C. (Brownstown Twp, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Chandy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Chandy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jerry Chandy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Chandy was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.