DR. ELLIOTT CHANDLER DASENBROOK (MD) – Pulmonary Disease Physician, NPI 1780772632

DR. ELLIOTT CHANDLER DASENBROOK (MD) is a healthcare provider. based in Euclid, Ohio. specializing in PULMONARY DISEASE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. D0065050 (MD). The NPI Number for DR. ELLIOTT CHANDLER DASENBROOK (MD) is 1780772632

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLIOTT CHANDLER DASENBROOK (MD)
NPI
1780772632
Phone
Not provided
Address
24701 EUCLID AVE
Enumeration Date
10 October 2006
Last Update Date
28 June 2011

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
2567509029
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20091102000538
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

850 PULMONARY DISEASE in OH

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Provider Addresses for DR. ELLIOTT CHANDLER DASENBROOK (MD)

  • Euclid Avenue, Brooklyn, Kings County, New York, 11208, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-8500

    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: 2009-11-02

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
I20091102000538IPulmonary DiseaseOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44117)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What NPI should I save for DR. ELLIOTT CHANDLER DASENBROOK (MD)?
Save NPI 1780772632 if you need a stable reference for DR. ELLIOTT CHANDLER DASENBROOK (MD).
Is DR. ELLIOTT CHANDLER DASENBROOK (MD)'s NPI currently valid?
The extract we use shows DR. ELLIOTT CHANDLER DASENBROOK (MD) as active.
What does DR. ELLIOTT CHANDLER DASENBROOK (MD) treat or focus on?
Patients typically see DR. ELLIOTT CHANDLER DASENBROOK (MD) under the specialty Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ELLIOTT CHANDLER DASENBROOK (MD)'s primary listing?
We display Euclid, Ohio because that is what the record indicates for DR. ELLIOTT CHANDLER DASENBROOK (MD).
How can I contact DR. ELLIOTT CHANDLER DASENBROOK (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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