Individual provider Active NPI

Chandana Potaraju, MD

  • Internal Medicine Physician
  • Culver City, CA
National Provider Identifier
1326501909
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A202261 Issued in CA
Practice address
9640 Venice Blvd
Culver City, CA 90232-2626
Phone
(310) 603-8013
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 A202261 CA Primary

Addresses

Primary practice location

9640 Venice Blvd
Culver City, CA 90232-2626

Mailing address

9640 Venice Blvd
Culver City, CA 90232-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230509000445 OH Practitioner - Internal Medicine 8325403702 Reassigns benefits to 1 organization
I20250815001549 CA Practitioner - Internal Medicine 8325403702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriheal PCGroup PAC ID 7416386800, 13 clinicians

Practice addresses (Care Compare)

9640 Venice Blvd
Culver City, CA 90232-2626
Phone (310) 963-0365

Hospital & facility affiliations

  • Enhancedcare Home Health Home health agency, Duarte, CA, CCN 058301
  • Allied Home Health Care Corporation Home health agency, Chino, CA, CCN 059294
  • St Paul Home Health Services, Inc Home health agency, Van Nuys, CA, CCN 059287

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A202261CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriheal PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
University Hospitals Medical Group Inc CurrentSince May 1, 2023 Accepting new patients

Locations

9640 Venice Blvd
Culver City, CA 90232
Phone (310) 803-6013

9808 Venice Blvd
Ph
Culver City, CA 90232
Phone (310) 733-4171

1715 S Cedar Ave
Fresno, CA 93702
Phone (559) 237-8377

4164 N 4th Ave
Sn Bernrdno, CA 92407
Phone (909) 886-6786

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: cpotaraju234136@ehrdirect.uhhospitals.org
  • FHIR API: https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1326501909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322626",
            "telephone_number": "310-603-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTARAJU",
        "first_name": "CHANDANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A202261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.