Krishnababu Chunduri, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G0378 Issued in TX

Practice address

713 Grainger Street
Fort Worth, TX 76104-7400

Phone

(817) 336-3968

Fax

(817) 336-3917

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Neurology

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tarrant Neurology Consultants, P.a.Group PAC ID 3072709369, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Merit-based Incentive Payment System (MIPS)

Final score

85.35 of 100Reported as group

Quality

67.91

Improvement activities

40

Cost

80.75

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krishnababu.chunduri@tnc.eclinicaldirectplus.com
• Direct secure messaging: kchunduri@direct.uspi.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JJJIAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tarrant Neurology Consultants, P.a.

  • Neurology Physician
  • Fort Worth, TX
  • NPI 1740509843
  Medicare reassignment Care Compare group NPD
• Vinit Mehrotra, MD, PA

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1861504136
  NPD (past)

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

• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1154316537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GRAINGER STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-336-3968",
            "fax_number": "817-336-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 GRAINGER STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-336-3968",
            "fax_number": "817-336-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNDURI",
        "first_name": "KRISHNABABU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "G0378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127931703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "C14487",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00TE62",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Chugh
• Agnes Chika Chukwu, RN
• Nwabueze Nelson Chukwuelue, PA-C
• Sarah Chun
• Kurt Jacob Chunda, DO
• Andrew W. Chung, MD, FS
• Eugene J Chung, D.O.
• Injin Kim Chung, L.AC.
• Jamie J Chung, D.D.S.
• Sun A Chung, FNP

• Neurology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.

Verify at the official NPI Registry.