Individual provider Active NPI

Satish Chandraprakasam, M.D.

  • Interventional Cardiology Physician
  • Fort Worth, TX
National Provider Identifier
1235369695
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
Q7340 Issued in TX
Practice address
5801 Oakbend TRL Ste 270
Fort Worth, TX 76132-3922
Phone
(817) 882-6868
Fax
(817) 439-9115
NPI assigned
Jul 20, 2009
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 2009012445 MO
Cardiovascular Disease Physician 207RC0000X 6714 NE
Cardiovascular Disease Physician 207RC0000X Q7340 TX
Interventional Cardiology Physician 207RI0011X Q7340 TX Primary

Addresses

Primary practice location

5801 Oakbend TRL Ste 270
Fort Worth, TX 76132-3922

Mailing address

5801 Oakbend TRL Ste 270
Fort Worth, TX 76132-3922
Phone (817) 882-6868

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
I20160621001366 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 8325339427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Creighton University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5801 Oakbend TRL
Suite 250
Fort Worth, TX 76132-3914
Phone (817) 822-6868

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.69 of 100Reported as individual
Quality
36.16
Improvement activities
0
Cost
54.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6714NEMDDentist
2009012445MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trident Heart and Vascular, PLLC Cardiovascular Disease CurrentSince Sep 1, 2020 Accepting new patients

Locations

5801 Oakbend Trl
Ste 270
Fort Worth, TX 76132
Phone (817) 615-9496

5801 Oakbend Trl
Ste 250
Ft Worth, TX 76132
Phone (817) 346-3366

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBDCCD/Endpoint/BBDCCD

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1235369695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 270",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323922",
            "telephone_number": "817-882-6868",
            "fax_number": "817-439-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 270",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323922",
            "telephone_number": "817-882-6868",
            "fax_number": "817-439-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAPRAKASAM",
        "first_name": "SATISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009012445",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "6714",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q7340",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q7340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.