NPIMap

Individual provider Active NPI

Chandra R Polam, MD

  • Cardiovascular Disease Physician
  • Blawnox, PA
National Provider Identifier
1871552232
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD038348L Issued in PA
Practice address
121 Freeport Rd Ste 200
Blawnox, PA 15238-3485
Phone
(412) 784-7180
Fax
(412) 784-7185
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X MD038348L PA
Cardiovascular Disease Physician 207RC0000X MD038348L PA Primary

Addresses

Primary practice location

121 Freeport Rd Ste 200
Blawnox, PA 15238-3485

Mailing address

121 Freeport Rd Ste 200
Blawnox, PA 15238-3485
Phone (412) 784-7180

Other identifiers 4

IdentifierTypeStateIssuer
0211079000MedicaidWV
000915209MedicaidPA
000915209004MedicaidPA
0800020MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fax

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000409 PA Practitioner - Cardiovascular Disease (Cardiology) 2466430137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 Lowry Ave
BLDG a
Jeannette, PA 15644-3063

1111 Lowry Ave a
Jeannette, PA 15644-3063
Phone (724) 527-2850

121 Freeport Rd
Blawnox, PA 15238-3411
Phone (412) 784-7180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.18 of 100Reported as group
Quality
15
Promoting interoperability
100
Improvement activities
0
Cost
92.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Polam & Associates, PC Cardiovascular Disease CurrentSince Jul 1, 2009 Accepting new patients
West Penn Allegheny Health System, Inc. Cardiovascular Disease Past Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Locations

121 Freeport Rd
Ste 200
Blawnox, PA 15238
Phone (412) 784-7180

1111 Lowry Ave
Bldg A
Jeannette, PA 15644
Phone (724) 374-5920

4506 Penn Ave
Pittsburgh, PA 15224
Phone (412) 622-6408

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Interoperability endpoints

  • Direct secure messaging: chandra.r.polam@upmcdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1871552232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FREEPORT RD STE 200",
            "city": "BLAWNOX",
            "state": "PA",
            "postal_code": "152383485",
            "telephone_number": "412-784-7180",
            "fax_number": "412-784-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FREEPORT RD STE 200",
            "city": "BLAWNOX",
            "state": "PA",
            "postal_code": "152383485",
            "telephone_number": "412-784-7180",
            "fax_number": "412-784-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAM",
        "first_name": "CHANDRA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "PA",
            "license": "MD038348L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD038348L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211079000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000915209",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000915209004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800020",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "N",
            "address_1": "121 Freeport Rd Ste 200",
            "city": "Blawnox",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152383485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blawnox, PA

Sources for this page

Verify at the official NPI Registry.