Mudjianto Chandra, M.D.
NPI 1225152515ActiveIndividual· Colon & Rectal Surgery· Tarzana, CA
Colon & Rectal Surgery (M.D.) in Tarzana, California, licensed in CA, with an NPI issued in March 2007. 271 Medicare patients in 2024, $184,066 paid; all of their 259 Part D prescriptions were generic. Lists Providence Cedars Sinai Tarzana Medical Center as a hospital affiliation.
Overview
| NPI | 1225152515 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Colon & Rectal Surgery Primary | 208C00000X | A52198 | CA |
| Surgery | 208600000X | A52198 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 271 |
|---|---|
| Services billed | 889 across 55 procedure codes |
| Paid by Medicare | $184,066 |
Part D prescriptions in 2024
| Prescriptions (claims) | 259 · 263 30-day fills |
|---|---|
| Patients | 94 |
| Total drug cost | $2,094 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 1983 |
|---|---|
| Medicare specialty | General Surgery |
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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