DR. CHETAN RAJ NANJUNDAIAH MD
NPI 1922952621
Family Medicine in Old Town, ME
About Dr. Chetan Raj Nanjundaiah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHETAN RAJ NANJUNDAIAH MD (NPI 1922952621) is an individual family medicine provider in Old Town, Maine, licensed in Maine (MD29252) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Chetan Raj Nanjundaiah 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bangor, MENorthern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04468 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OLD TOWN, ME 04468
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 Chetan Raj Nanjundaiah's NPI number?
The NPI number for Chetan Raj Nanjundaiah is 1922952621. It was assigned to this individual provider in the NPPES registry on February 21, 2026.
Where is Chetan Raj Nanjundaiah located?
Chetan Raj Nanjundaiah practices at 242 Brunswick St, Old Town, ME 04468. The listed phone number is (207) 827-6128.
What is Chetan Raj Nanjundaiah's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Chetan Raj Nanjundaiah enrolled in Medicare?
Yes. Chetan Raj Nanjundaiah 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.
Is Chetan Raj Nanjundaiah affiliated with any hospitals?
According to CMS data, Chetan Raj Nanjundaiah is affiliated with St Joseph Hospital and Northern Light Eastern Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Chetan Raj Nanjundaiah was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Chetan Raj Nanjundaiah, MD · NPI 1922952621
Family Medicine physician in Old Town, Maine. Individual provider, active in the CMS NPPES registry since February 21, 2026.
## Identity
- **NPI:** 1922952621 (Entity type: Individual)
- **Enumerated:** February 21, 2026
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD29252 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 242 BRUNSWICK ST, Old Town, ME 04468-1613
- **Phone:** (207) 827-6128
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** March 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922952621) · Data from the CMS NPPES public registry.