ANAND BRAHMAMDAM (DO) – Diagnostic Radiology Physician, NPI 1063830784

ANAND BRAHMAMDAM (DO) is a healthcare provider. based in Chicago, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 036.148128 (IL). The NPI Number for ANAND BRAHMAMDAM (DO) is 1063830784

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ANAND BRAHMAMDAM (DO)
NPI
1063830784
Phone
Not provided
Address
PO BOX 735044
Enumeration Date
31 March 2014
Last Update Date
16 October 2023

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
4143523100
Graduation Year
2014 (12 years ago)
PAC ID
6800129511
Group Practice PAC ID
3375625833
Professional Enrollment ID
I20231026001324
Address ID
WI532092042MI3003XRDXX500

Contacts

FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
abrahmamdam116067@direct.myadvocateaurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:12State licenses:3Other namesUpdated within 12 months

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for ANAND BRAHMAMDAM (DO)

  • PO BOX 735044

    CHICAGO, IL 606735044

    Phone:

    Type: Mailing

  • PO BOX 28513

    MIAMI, FL 331028513

    Phone: (352) 732-7400

    Type: Mailing

  • 1490 SE MAGNOLIA EXT

    OCALA, FL 344714499

    Phone: (352) 732-7400

    Type: Location

  • 2900 W OKLAHOMA AVE

    MILWAUKEE, WI 532154330

    Phone: (414) 649-3323

    Type: Location

  • 1490 SE Magnolia Ext

    Ocala, FL 344714499

    Phone: (352) 732-7400

    Type: Location

  • 251 E Huron St

    Chicago, IL 606112908

    Phone: (312) 695-1292

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200519001296IDiagnostic RadiologyFLTBD
I20231026001324IDiagnostic RadiologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml8,05781$0
A9585Injection, gadobutrol, 0.1 ml5,30872$0
71045X-ray of chest, 1 view430395$0
70450Ct scan head or brain without contrast161159$0
77063Screening 3d breast mammography141141$0
View full utilization report →

Insurance plans in this area (ZIP 60673)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375625833View full group profile

Reviews

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Frequently asked questions

What is the standard ID for ANAND BRAHMAMDAM (DO) in the U.S.?
In the U.S., ANAND BRAHMAMDAM (DO) is identified by NPI 1063830784.
Is ANAND BRAHMAMDAM (DO) currently accepting referrals based on NPI status?
Registry metadata lists ANAND BRAHMAMDAM (DO) as active.
What type of care does ANAND BRAHMAMDAM (DO) provide?
ANAND BRAHMAMDAM (DO)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ANAND BRAHMAMDAM (DO)?
ANAND BRAHMAMDAM (DO) shows a connection to Chicago, Illinois in registry-derived data.
Can I export ANAND BRAHMAMDAM (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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