JAGANNADHARAO BRAHMAMDAM MD
NPI 1457386922
Radiology - Diagnostic Radiology in Danville, IL
About Jagannadharao Brahmamdam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAGANNADHARAO BRAHMAMDAM MD (NPI 1457386922) is an individual diagnostic radiology provider in Danville, Illinois, licensed in Illinois (03606004) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jagannadharao Brahmamdam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jagannadharao Brahmamdam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Danville, IL 61832
- Reassigned Medicare billing, Illinois enrollment
- 28 clinicians in this Medicare group
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 37
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61832 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jagannadharao Brahmamdam's NPI number?
The NPI number for Jagannadharao Brahmamdam is 1457386922. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Jagannadharao Brahmamdam located?
Jagannadharao Brahmamdam practices at 812 N Logan Ave, Danville, IL 61832. The listed phone number is (217) 431-8413.
What is Jagannadharao Brahmamdam's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jagannadharao Brahmamdam enrolled in Medicare?
Yes. Jagannadharao Brahmamdam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jagannadharao Brahmamdam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jagannadharao Brahmamdam reassigns Medicare benefits to East Central Illinois Radiology Associates, LLC (Danville, IL). The 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 Jagannadharao Brahmamdam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jagannadharao Brahmamdam was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.