PAVAN CHANAMOLU
NPI 1194321901
Student in an Organized Health Care Education/Training Program in Mount Pleasant, MI

Active since December 07, 2020PECOS EnrolledAccepts Medicare Assignment
1280 E CAMPUS DR, MOUNT PLEASANT, MI 48859(989) 774-2478 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavan Chanamolu NPPES

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

PAVAN CHANAMOLU (NPI 1194321901) is an individual student in an organized health care education/training program in Mount Pleasant, Michigan and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center West Branch, and maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1194321901
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePAVAN CHANAMOLU
Location Address1280 E CAMPUS DRMount Pleasant, MI 48859-4484
Mailing Address1730 Somerset DrMount Pleasant, MI 48858-4484
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
NPI 1194321901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1280 E CAMPUS DR, Mount Pleasant, MI 48859

Secondary Practice Location 1

Location 11730 Somerset DrMount Pleasant, MI 48858-4484 · Phone (248) 633-6054

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pavan Chanamolu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133517121
PECOS Enrollment IDI20211025001081
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.

Areas of Expertise CMS Part B claims

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services59 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1280 E CAMPUS DR
MT PLEASANT, MI 48859
Physician Assistant
1280 E CAMPUS DR
MT PLEASANT, MI 48859
Physician Assistant
1280 E CAMPUS DR
MOUNT PLEASANT, MI 48859
Student in an Organized Health Care Education/Training Program
1280 E CAMPUS DR
MOUNT PLEASANT, MI 48859

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 Pavan Chanamolu's NPI number?

The NPI number for Pavan Chanamolu is 1194321901. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Pavan Chanamolu located?

Pavan Chanamolu practices at 1280 E Campus Dr, Mount Pleasant, MI 48859. The listed phone number is (989) 774-2478.

What is Pavan Chanamolu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pavan Chanamolu enrolled in Medicare?

Yes. Pavan Chanamolu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pavan Chanamolu accept?

Health plans from Priority Health list Pavan Chanamolu 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.

Is Pavan Chanamolu affiliated with any hospitals?

According to CMS data, Pavan Chanamolu is affiliated with Mymichigan Medical Center West Branch, Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Pavan Chanamolu was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.