Individual provider Active NPI

Cherry Chandi, MD

  • Internal Medicine Physician
  • Highland Village, TX
National Provider Identifier
1265425664
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3939 Issued in TX
Practice address
2016 FM 407
Highland Village, TX 75077-7161
Phone
(972) 966-2525
Fax
(972) 966-1359
NPI assigned
Aug 31, 2005
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3939 TX Primary

Addresses

Primary practice location

2016 FM 407
Highland Village, TX 75077-7161

Mailing address

2016 FM 407
Highland Village, TX 75077-7180
Phone (972) 966-2525

Other identifiers 2

IdentifierTypeStateIssuer
P00038995OtherTXMEDICARE RAIL ROAD NUMBER
170400901MedicaidTX

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
I20111025000404 TX Practitioner - Internal MedicinePractitioner - General Practice 7315089786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2016 Justin Rd
Suite 360
Highland Village, TX 75077-7180
Phone (972) 966-2525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3939TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Chandi, M.D., P.a. Internal Medicine CurrentSince Aug 15, 2002 Accepting new patients
Satbirsingh Risam MD PA Internal Medicine Past Accepting new patients

Locations

2016 FM 407
Ste 360
Lewisville, TX 75077
Phone (972) 966-2525

Organizations & group practices 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1265425664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 FM 407",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777180",
            "telephone_number": "972-966-2525",
            "fax_number": "972-966-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 FM 407",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777161",
            "telephone_number": "972-966-2525",
            "fax_number": "972-966-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDI",
        "first_name": "CHERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD NUMBER",
            "identifier": "P00038995",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170400901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

Verify at the official NPI Registry.