PALANIAPPAN CHIDAMBARAM (M.D.) – Internal Medicine Physician, NPI 1770651200

PALANIAPPAN CHIDAMBARAM (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in ADDICTION MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301081783 (MI). The NPI Number for PALANIAPPAN CHIDAMBARAM (M.D.) is 1770651200

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
PALANIAPPAN CHIDAMBARAM (M.D.)
NPI
1770651200
Phone
Not provided
Address
PO BOX 3158
Enumeration Date
1 December 2006
Last Update Date
19 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8445425481
Graduation Year
1994 (32 years ago)
PAC ID
8729024146
Group Practice PAC ID
2668916214
Professional Enrollment ID
I20241203001659
Address ID
AK998019289JU4367XBLVD300

Contacts

Secure Messaging
pchidambaram538054@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

29 ADDICTION MEDICINE in OR

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Provider Addresses for PALANIAPPAN CHIDAMBARAM (M.D.)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • 5251, Northeast Glisan Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States

    BLDG A, 2ND FLOOR

    PORTLAND, OR 972133052

    Phone: (503) 215-4860

    Fax: (503) 215-4839

    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: 2024-12-03

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
I20150821013220IAddiction MedicineORTBD
I20241203001659IAddiction MedicineAKTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7428$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4438$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2612$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 2668916214View full group profile
NameSpecialtyState
Nurse PractitionerNY
Clinical Social WorkerIN
Mental Health CounselorOR
Clinical Social WorkerAK

Reviews

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Frequently asked questions

What federal number belongs to PALANIAPPAN CHIDAMBARAM (M.D.)?
The federal identifier for PALANIAPPAN CHIDAMBARAM (M.D.) is NPI 1770651200.
Is PALANIAPPAN CHIDAMBARAM (M.D.) active in the national directory?
PALANIAPPAN CHIDAMBARAM (M.D.)'s public NPI profile is in an active state.
What field does PALANIAPPAN CHIDAMBARAM (M.D.) work in?
You can think of PALANIAPPAN CHIDAMBARAM (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PALANIAPPAN CHIDAMBARAM (M.D.)?
The page summarizes Portland, Oregon for PALANIAPPAN CHIDAMBARAM (M.D.); expand the address list for detail.
Is PALANIAPPAN CHIDAMBARAM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1770651200. Always confirm identity and privileges with the practice and licensing boards.

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