Individual provider Active NPI

Jyothi Kundur, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1164683066
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P0423 Issued in TX
Practice address
14100 Nacogdoches Rd
Ste. 116
San Antonio, TX 78247-1903
Phone
(210) 653-8989
Fax
(210) 590-4608
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P0423 TX Primary

Addresses

Primary practice location

14100 Nacogdoches Rd
Ste. 116
San Antonio, TX 78247-1903

Mailing address

14100 Nacogdoches Rd
Ste. 116
San Antonio, TX 78247-1903
Phone (210) 653-8989

Other identifiers 2

IdentifierTypeStateIssuer
333286YLPSOtherTXWELLMED MEDICARE
2988826-03OtherTXWELLMED MEDICAID

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
I20111017000148 TX Practitioner - Family Practice 7113199134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

14100 Nacogdoches Rd
116 Wellmed at Northern Hills
San Antonio, TX 78247-1907
Phone (210) 653-8989

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jun 1, 2016 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Sep 15, 2014 Accepting new patients
Wellmed Medical Group, PA Family Medicine Current Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Sep 15, 2014 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1032 S WW White Rd
San Antonio, TX 78220
Phone (210) 447-3033

14100 Nacogdoches Rd
Ste 116
San Antonio, TX 78247
Phone (210) 491-8136

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

Interoperability endpoints

  • Direct secure messaging: jyothi.kundur@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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1164683066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 NACOGDOCHES RD",
            "address_2": "STE. 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471903",
            "telephone_number": "210-653-8989",
            "fax_number": "210-590-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 NACOGDOCHES RD",
            "address_2": "STE. 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471903",
            "telephone_number": "210-653-8989",
            "fax_number": "210-590-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDUR",
        "first_name": "JYOTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "333286YLPS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "2988826-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.