Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAVAN CHANAMOLU
NPI 1194321901
Physician Assistant in Midland, MI

Q: 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.

Q: What is Pavan Chanamolu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Pavan Chanamolu was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since December 07, 2020PECOS Enrolled

2660 W SUGNET RD, MIDLAND, MI 48640(989) 488-5410(989) 488-5886 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Pavan Chanamolu NPPES

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

PAVAN CHANAMOLU (NPI 1194321901) is an individual physician assistant in Midland, Michigan, licensed in Michigan (5601010784) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alma, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194321901

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePAVAN CHANAMOLU

Location Address2660 W SUGNET RDMidland, MI 48640-2647

Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241

Phone(989) 488-5410

Fax(989) 488-5886

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 7, 2020

Last NPPES UpdateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1194321901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601010784

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2660 W SUGNET RD, Midland, MI 48640

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Secondary Practice Locations 2

Location 11280 E Campus DrMount Pleasant, MI 48859-4484 · Phone (989) 774-2478

Location 21730 Somerset DrMount Pleasant, MI 48858-4484 · Phone (248) 633-6054

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, 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 5

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

Mymichigan Medical Center Alma

Acute Care Hospitals · Alma, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230030

Location300 E Warwick DrAlma, MI 48801 · Gratiot County

Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

DR. JEFFREY DAVID MARTINDALE D.O.

Internal Medicine (Cardiovascular Disease)