DR. MUDJIANTO CHANDRA M.D. NPI 1225152515

NPI Details

DR. Mudjianto Chandra, M.D. is a colon rectal surgery in Tarzana, CA with 42 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Mudjianto Chandra, M.D. NPI is 1225152515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18370 BURBANK BLVD
SUITE 607
TARZANA, CA
ZIP 91356-804
Phone: (818) 709-8161
Fax: (818) 709-8160

The NPI 1225152515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
• Repair of groin hernia using an endoscope (HCPCS:49650)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS:47563)
• Emergency department visit for life threatening or functioning severity (HCPCS:99285)
• Colonoscopy (HCPCS:NAN13)
• Hernia repair - groin (open) (HCPCS:NAN19)
• Hernia repair (minimally invasive) (HCPCS:NAN16)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/19/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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