Active NPI
Anupama Chennupati, MD
- Infectious Disease Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- P5523
- Practice address
- 1634 Mistletoe Blvd
Fort Worth, TX 76104-4012 - Phone
- (817) 818-8433
- Fax
- (817) 423-7473
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | P5523 | TX | Primary |
Addresses
Primary practice location
1634 Mistletoe Blvd
Fort Worth, TX 76104-4012
Mailing address
912 Charleston Dr
Southlake, TX 76092-1536
Phone (817) 818-8433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1634 Mistletoe Blvd
Fort Worth, TX 76104-4012
Phone (817) 818-8433
Hospital & facility affiliations
- Amatus Health Care LLC
- Medical City Fort Worth
- Medical City Weatherford
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5523 | TX | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idexpertcare PA | Infectious Disease | Current | Accepting new patients |
| Cogent Healthcare of Pennsylvania, Inc. | Past | Accepting new patients |
Locations
11803 South Fwy
Ste 215
Burleson, TX 76028
Phone (817) 293-3000
609 Medical Center Dr
Ste 2500
Decatur, TX 76234
Phone (214) 337-6362
1634 Mistletoe Blvd
Fort Worth, TX 76104
Phone (214) 461-0543
118 Lynn Ave
Ste 100
Lewisville, TX 75057
Phone (214) 396-8877
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1598235194
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1831126176
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmers Branch, TX
- NPI 1619295268
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1023258043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 CHARLESTON DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921536",
"telephone_number": "817-818-8433",
"fax_number": "949-404-6343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 MISTLETOE BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044012",
"telephone_number": "817-818-8433",
"fax_number": "817-423-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENNUPATI",
"first_name": "ANUPAMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "P5523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.