Individual provider Active NPI

Chitra Nadagoundla, M.D.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1134537020
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME168744 Issued in FL
Practice address
52 Underwood St # MP80
Orlando, FL 32806-1110
Phone
(321) 841-3581
Fax
(321) 843-5177
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-13300 AR
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X E-13300 AR
Hospitalist Physician 208M00000X E-13300 AR
Internal Medicine Physician 207R00000X ME168744 FL Primary

Addresses

Primary practice location

52 Underwood St # MP80
Orlando, FL 32806-1110

Mailing address

52 Underwood St # MP80
Orlando, FL 32806-1110
Phone (321) 841-3581

Other practice location 1

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4677

Other practice location 2

4301 W Markham St # 795
Little Rock, AR 72205-7101
Phone (501) 526-6422

Other identifiers 1

IdentifierTypeStateIssuer
123597100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210225000797 AR Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Hospitalist 1153630561 Reassigns benefits to 1 organization
I20240823000418 FL Practitioner - Internal Medicine 1153630561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients

Locations

4301 W Markham St
#795
Little Rock, AR 72205
Phone (501) 526-6422

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

52 Underwood St
#80
Orlando, FL 32806
Phone (321) 841-3581

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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 1

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1134537020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 UNDERWOOD ST # MP80",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-841-3581",
            "fax_number": "321-843-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 UNDERWOOD ST # MP80",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-841-3581",
            "fax_number": "321-843-5177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Saint Vincent Cir",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055423",
            "country_code": "US",
            "telephone_number": "501-552-4677",
            "fax_number": "501-552-4555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 795",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-526-6422",
            "fax_number": "501-320-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADAGOUNDLA",
        "first_name": "CHITRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-13300",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "E-13300",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-13300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME168744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123597100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.