CHAUN GANDOLFO DO
NPI 1720441884
Internal Medicine - Clinical Cardiac Electrophysiology in Lansing, MI

Q: What is Chaun Gandolfo's NPI number?

The NPI number for Chaun Gandolfo is 1720441884. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Chaun Gandolfo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for Chaun Gandolfo was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment

1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-1000 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2025, May 6, 2020, May 17, 2016 (3 updates tracked since 2016).

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About Chaun Gandolfo Do NPPES

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

CHAUN GANDOLFO DO (NPI 1720441884) is an individual clinical cardiac electrophysiology provider in Lansing, Michigan, licensed in Michigan (5101025085) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Sparrow Carson Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1720441884

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameCHAUN GANDOLFOCredential: DO

Location Address1215 E MICHIGAN AVELansing, MI 48912-1811

Mailing Address2799 W Grand Blvd, Henry Ford HospitalDetroit, MI 48202-2608 · (313) 916-2600

Phone(517) 364-1000

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2016

Enumeration DateApril 5, 2016

Last NPPES UpdateJune 22, 20253 updates tracked since enumeration

NPPES CertifiedJune 22, 2025

✔ NPI 1720441884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in MI · 5101025085

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

1215 E MICHIGAN AVE, Lansing, MI 48912

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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, McLaren Health Plan Community and more.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

Chaun Gandolfo Do 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 ID3476847062

PECOS Enrollment IDI20190712002470

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 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230208

Location406 East Elm StCarson City, MI 48811 · Montcalm County

Emergency services

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230230

Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County

Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number231326

Location805 S OaklandSaint Johns, MI 48879 · Clinton County

Emergency services

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231327

Location321 E Harris StreetCharlotte, MI 48813 · Eaton County

Emergency services

Sparrow Ionia Hospital

Critical Access Hospitals · Ionia, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number231331

Location3565 S State RoadIonia, MI 48846 · Ionia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

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.

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.

DANIEL FRANCIS BOUCHARD D.O.

Family Medicine

1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912

Ingham County (231) 955-3360

DR. JESSICA FROST MD

Obstetrics & Gynecology