Active NPI
Medha Chunduru, MD
- Family Medicine Physician
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD226931
- Practice address
- 4855 SW Western Ave
Beaverton, OR 97005-3460 - Phone
- (800) 813-2000
- NPI assigned
- May 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | T8511 | TX | |
| Family Medicine Physician | 207Q00000X | MD226931 | OR | Primary |
Addresses
Primary practice location
4855 SW Western Ave
Beaverton, OR 97005-3460
Mailing address
500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Other practice location 1
1521 S Staples St Ste 300
Corpus Christi, TX 78404-3113
Phone (361) 694-1498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220810001248 | TX | Practitioner - Family Practice | 4880998954 | Reassigns benefits to 1 organization |
| I20260226000082 | WA | Practitioner - Family Practice | 4880998954 | Reassigns benefits to 1 organization |
| I20260227000048 | OR | Practitioner - Family Practice | 4880998954 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400
4855 SW Western Ave
Beaverton, OR 97005-3460
Phone (800) 813-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD226931 | OR | MD | Family Medicine Physician |
| T8511 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Wellmed Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
Locations
4855 SW Western Ave
Beaverton, OR 97005
Phone (503) 626-4148
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
4101 S Staples St
Corpus Christi, TX 78411
Phone (361) 883-8001
1521 S Staples St
Ste 300
Corpus Christi, TX 78404
Phone (361) 694-1498
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- mchunduru80981@direct.medisys.org
- medha.chunduru@wellmed.eclinicaldirectplus.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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Family Medicine, OR, WA
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
Family Medicine, TX
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1013395086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 SW WESTERN AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053460",
"telephone_number": "800-813-2000"
}
],
"practiceLocations": [
{
"address_1": "1521 S Staples St Ste 300",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784043113",
"country_code": "US",
"telephone_number": "361-694-1498",
"fax_number": "361-694-1499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNDURU",
"first_name": "MEDHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T8511",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD226931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.