Individual provider Active NPI

Chandralatha Thota, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1386735348
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7517 Issued in TX
Practice address
906 Wayside Dr
Houston, TX 77011-2518
Phone
(713) 923-6627
Fax
(713) 923-9383
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E7517 TX Primary

Addresses

Primary practice location

906 Wayside Dr
Houston, TX 77011-2518

Mailing address

906 Wayside Dr
Houston, TX 77011-2518
Phone (713) 923-6627

Other identifiers 6

IdentifierTypeStateIssuer
8F22098OtherMEDICARE PTAN NUMBER
112022205MedicaidTX
112022204MedicaidTX
112022202MedicaidTX
112022203MedicaidTX
112022201MedicaidTX

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
I20090817000359 TX Practitioner - Family Practice 8729078365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic of the East End AssociationGroup PAC ID 8325192321, 3 clinicians

Practice addresses (Care Compare)

906 Wayside Dr
Houston, TX 77011-2518
Phone (713) 923-6627

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic of the East End Association Family Medicine CurrentSince Jun 14, 2009 Accepting new patients
East End Medical Clinic Family Medicine CurrentSince Jan 1, 1975 Accepting new patients

Locations

906 Wayside Dr
Houston, TX 77011
Phone (713) 861-4300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8495/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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1386735348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770112518",
            "telephone_number": "713-923-6627",
            "fax_number": "713-923-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770112518",
            "telephone_number": "713-923-6627",
            "fax_number": "713-923-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOTA",
        "first_name": "CHANDRALATHA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E7517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "8F22098",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112022205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112022204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112022202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112022203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112022201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.