Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chaun Gandolfo, DO

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1720441884

Chaun Gandolfo, DO is an Internal Medicine in Lansing, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 364-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 5101025085 (MI)

Record details

NPI number1720441884
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025
Mailing address2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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