Individual provider Active NPI

Srivasa B Chebrolu, MD

  • Nephrology Physician
  • Frisco, TX
National Provider Identifier
1124019450
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M1050 Issued in TX
Practice address
4401 Coit Rd
Suite 303
Frisco, TX 75035-0500
Phone
(469) 574-0464
Fax
(469) 574-0471
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M1050 TX Primary

Addresses

Primary practice location

4401 Coit Rd
Suite 303
Frisco, TX 75035-0500

Mailing address

1600 Waters Ridge Dr Ste a
Lewisville, TX 75057-6039
Phone (940) 320-1708

Other identifiers 2

IdentifierTypeStateIssuer
P00239743OtherRR MEDICARE
173507801MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628001472 TX Practitioner - Nephrology 5395781561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Texas Kidney Disease AssociatesGroup PAC ID 0941296107, 26 clinicians

Practice addresses (Care Compare)

4401 Coit Rd
Suite 303
Frisco, TX 75035-0508
Phone (469) 850-6139

Hospital & facility affiliations

  • DaVita Renal Center of Frisco Dialysis facility, Frisco, TX, CCN 672654
  • Fresenius Kidney Care North Frisco Dialysis Clinic Dialysis facility, Frisco, TX, CCN 672850
  • DaVita Allen Dialysis Dialysis facility, Allen, TX, CCN 672728
  • Dialysis Services of Allen Dialysis facility, Allen, TX, CCN 672648
  • FMC Frisco Dialysis facility, Frisco, TX, CCN 672838
  • Baylor Scott & White Medical Center - Centennial Hospital, Frisco, TX, CCN 450885
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Baylor Scott and White Medical Center Frisco at PG Hospital, Frisco, TX, CCN 670346
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Texas Health Hospital Frisco Hospital, Frisco, TX, CCN 670260

Merit-based Incentive Payment System (MIPS)

Final score
94.31 of 100Reported as individual
Quality
86.73
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Kidney Disease Associates Nephrology CurrentSince Aug 1, 2005 Accepting new patients
North Texas Kidney Disease Associates Nephrology Current Accepting new patients

Locations

3315 Colorado Blvd
Ste 102
Denton, TX 76210
Phone (940) 320-1708

4401 Coit Rd
Ste 303
Frisco, TX 75035
Phone (214) 469-0022

1600 Waters Ridge Dr
Ste A
Lewisville, TX 75057
Phone (940) 320-1708

6331 Boulevard 26
Ste 220
North Richland Hills, TX 76180
Phone (817) 628-0284

6300 W Parker Rd
Ste 224
Plano, TX 75093
Phone (469) 574-0464

Interoperability endpoints

  • Direct secure messaging: srivasa.chebrolu.1@23918.direct.athenahealth.com
  • Direct secure messaging: srivasa.chebrolu@northtexaskidney.directbygreenway.com
  • Direct secure messaging: dmcschebr@yourcarecommunity.org

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1124019450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR STE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576039",
            "telephone_number": "940-320-1708",
            "fax_number": "940-565-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COIT RD",
            "address_2": "SUITE 303",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350500",
            "telephone_number": "469-574-0464",
            "fax_number": "469-574-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEBROLU",
        "first_name": "SRIVASA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00239743",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173507801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.