DR. CHAITANYA VIJAY BRUNDAVANAM MD
NPI 1669699211
Family Medicine in Iron Mountain, MI

Q: What is Chaitanya Brundavanam's NPI number?

The NPI number for Chaitanya Brundavanam is 1669699211. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Chaitanya Brundavanam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment

1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801(906) 776-5316(906) 776-5761 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2023, Jan 3, 2019, Oct 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Chaitanya Vijay Brundavanam Md NPPES

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

DR. CHAITANYA VIJAY BRUNDAVANAM MD (NPI 1669699211) is an individual family medicine provider in Iron Mountain, Michigan, licensed in Michigan (4301088796) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Dickinson County Memorial Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1669699211

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHAITANYA VIJAY BRUNDAVANAMCredential: MD

Location Address1721 S STEPHENSON AVEIron Mountain, MI 49801-3637

Mailing Address1721 S Stephenson AveIron Mountain, MI 49801-3637 · (906) 776-5316 · Fax (906) 776-5761

Phone(906) 776-5316

Fax(906) 776-5761

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateApril 18, 2007

Last NPPES UpdateOctober 4, 20234 updates tracked since enumeration

NPPES CertifiedOctober 4, 2023

✔ NPI 1669699211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301088796

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 4301088796 (MI)

1721 S STEPHENSON AVE, Iron Mountain, MI 49801

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Chaitanya Vijay Brundavanam Md 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 ID5799839627

PECOS Enrollment IDI20101018000600

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

Medicare enrollment records show Chaitanya Brundavanam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Inpatient Physicians - Michigan, PLLC

46 mi

Hospitalist

3401 LUDINGTON ST
Escanaba, MI 49829

Reassigned Medicare billing, Michigan enrollment
596 clinicians in this Medicare group

NPI 1366768178 (906) 786-5707

Mclaren Northern Michigan

152 mi

Family Medicine

416 CONNABLE AVE
Petoskey, MI 49770

Reassigned Medicare billing, Michigan enrollment
149 clinicians in this Medicare group

NPI 1760736094 (231) 487-4000

Hospitalist Medicine Physicians Of Michigan, PLLC

335 mi

Internal Medicine

818 RIVERSIDE AVE
Adrian, MI 49221

Reassigned Medicare billing, Michigan enrollment
237 clinicians in this Medicare group

NPI 1013180181 (330) 493-4443

Apogee Medical Group, Michigan, PC

1,516 mi

Internal Medicine

15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254

Reassigned Medicare billing, Michigan enrollment
143 clinicians in this Medicare group

NPI 1053655134 (602) 778-3600

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 9

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

129 services50 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

107 services57 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

94 services35 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

57 services53 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230055

Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson County

Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49801 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

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

96%55 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$21.35 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers25 claims25 services$119.37 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers26 claims26 services$28.81 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers11 claims11 services$7.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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