Chetan R Mukundan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29250 Issued in TN

Practice address

2325 Crestmoor Rd Ste 101
Nashville, TN 37215-2027

Phone

(629) 255-2217

Fax

(629) 255-4082

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chetanmukundan@hma.allscriptsdirect.net
• Direct secure messaging: cmukundan159669@direct.vumc.org

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.

• Heritage Medical Associates PC

  • Clinical Medical Laboratory
  • Nashville, TN
  • NPI 1720042021
  NPD

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1215921002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CRESTMOOR RD STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152027",
            "telephone_number": "629-255-2217",
            "fax_number": "629-255-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKUNDAN",
        "first_name": "CHETAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "29250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512660",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric M Mukherjee, MD-PHD
• Bhaskar Mukherji, MD
• Catherine Jaynes Mukherji, RN, APN, NP
• Suguna Mukthyala, LPCC
• Leonard Ngugi Mukuhi, NURSE PRACTITIONER
• Erin Mulcahy
• Paige Mulchrone
• Kelly Ann Muldoon
• Olga Muldoon, MD
• Roberta Lee Muldoon, MD

• Pediatrics Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.