Spandana Chittajallu, MD

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

61987 Issued in KY

Practice address

1413 N Elm St
Henderson, KY 42420-2768

Phone

(270) 831-7937

Fax

(270) 831-7939

NPI assigned

Jul 19, 2021

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1316510472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202768",
            "telephone_number": "270-831-7937",
            "fax_number": "270-831-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202768",
            "telephone_number": "270-831-7937",
            "fax_number": "270-831-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTAJALLU",
        "first_name": "SPANDANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "KY",
            "license": "61987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon A Chappell, DO
• Myles T Chavira, NP
• Diana Marie Cherry, P.T.A.
• Maliyah Devon Chinn
• Muthamilan Chinnairusan, M.D.
• Christina Gail Hanor Mitchell (Mitchell Speech Therapy)
• Drue Clark, PHARMD
• Leslie Mason Clark, R.D., L.D.
• Jinnyi Clements, AGCNS-BC
• Andrea Lynn Clemons

• Clinical Neurophysiology Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Clinical Neurophysiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.