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

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: October 18, 2026.

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

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
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

Accepted Insurance

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

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.

Medicare Billing Reassignments

4

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

Nurse Practitioner
1215 E MICHIGAN AVE
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
School
509 BURCHAM DR STE 59
East Lansing, MI 48823
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1942254529 (Michigan)
  • 137 clinicians in this Medicare group
Family Medicine
11017 W 3RD ST
Fowler, MI 48835
  • Reassigned Medicare billing, Michigan enrollment
  • 215 clinicians in this Medicare group
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 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

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.

Family Medicine
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912
Obstetrics & Gynecology
1215 E MICHIGAN AVE
LANSING, MI 48912
Physician Assistant
1215 E MICHIGAN AVE
LANSING, MI 48912
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Family Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912

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 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.

Where is Chaun Gandolfo located?

Chaun Gandolfo practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-1000.

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.

Is Chaun Gandolfo enrolled in Medicare?

Yes. Chaun Gandolfo 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.

Which organizations bill Medicare for Chaun Gandolfo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chaun Gandolfo reassigns Medicare benefits to 4 organizations: Edward W Sparrow Hospital Association (Lansing, MI), Sparrow Eaton Hospital (East Lansing, MI), Sparrow Carson Hospital (Fowler, MI) and Henry Ford Health System (Detroit, MI). Each 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 Chaun Gandolfo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chaun Gandolfo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Chaun Gandolfo 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 Chaun Gandolfo affiliated with any hospitals?

According to CMS data, Chaun Gandolfo is affiliated with Sparrow Carson Hospital, Edward W Sparrow Hospital, Sparrow Clinton Hospital, Sparrow Eaton Hospital and Sparrow Ionia Hospital.

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 16 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.