JAGANNADHARAO BRAHMAMDAM (MD) – Diagnostic Radiology Physician, NPI 1457386922

JAGANNADHARAO BRAHMAMDAM (MD) is a healthcare provider. based in Danville, Illinois. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. 03606004 (IL). The NPI Number for JAGANNADHARAO BRAHMAMDAM (MD) is 1457386922

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
JAGANNADHARAO BRAHMAMDAM (MD)
NPI
1457386922
Phone
(217) 431-8413
Address
812 N LOGAN AVE
Enumeration Date
12 July 2006
Last Update Date
12 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173372162
Graduation Year
1973 (53 years ago)
PAC ID
8729078373
Group Practice PAC ID
3870750482
Professional Enrollment ID
I20070718000672
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JAGANNADHARAO BRAHMAMDAM (MD)

  • Presence United Samaritans Medical Center, 812, North Logan Avenue, Wyton, Danville, Vermilion County, Illinois, 61832, United States

    DANVILLE, IL 618323752

    Phone: (217) 431-8413

    Fax: (217) 431-1397

    Mailing address matches the actual address.

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: 2007-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070718000672IDiagnostic RadiologyILTBD

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
71045X-ray of chest, 1 view361292$0
77067Screening mammography298298$0
77063Screening 3d breast mammography298298$0
71046X-ray of chest, 2 views196185$0
70450Ct scan head or brain without contrast138122$0
View full utilization report →

Insurance plans in this area (ZIP 61832)

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Provider's Procedures

JAGANNADHARAO BRAHMAMDAM (MD) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front19551303
DIAGNOSTIC RADIOLOGYIL71250CT scan chest1212
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views2321
DIAGNOSTIC RADIOLOGYIL73562X-ray of knee, 3 views2721
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views4034
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast205197
DIAGNOSTIC RADIOLOGYIL76830Ultrasound pelvis through vagina1111
DIAGNOSTIC RADIOLOGYIL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2323
DIAGNOSTIC RADIOLOGYIL78815Nuclear medicine study with CT imaging skull base to mid-thigh5147

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: 3870750482View full group profile

Reviews

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Frequently asked questions

Is JAGANNADHARAO BRAHMAMDAM (MD) listed with a National Provider Identifier?
Yes — JAGANNADHARAO BRAHMAMDAM (MD) has NPI 1457386922 on file in the registry.
Would JAGANNADHARAO BRAHMAMDAM (MD) appear as active to a payer?
You can treat JAGANNADHARAO BRAHMAMDAM (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JAGANNADHARAO BRAHMAMDAM (MD)?
JAGANNADHARAO BRAHMAMDAM (MD) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JAGANNADHARAO BRAHMAMDAM (MD)?
Directory geography for JAGANNADHARAO BRAHMAMDAM (MD) centers on Danville, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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