Individual provider Active NPI

Kumud Chawla, FNP-C

  • Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1447301882
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
513615 Issued in TX
Practice address
2317 Starlight CT
Arlington, TX 76016-6425
Phone
(817) 277-5822
Fax
(817) 277-5842
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 513615 TX Primary

Addresses

Primary practice location

2317 Starlight CT
Arlington, TX 76016-6425

Mailing address

2317 Starlight CT
Arlington, TX 76016-6425
Phone (817) 277-5822

Other identifiers 2

IdentifierTypeStateIssuer
P00413519OtherTXMEDICARE RAILROAD
1491755-03MedicaidTX

Other names 1

  • Mrs. Kumud Chawla Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000761 TX Practitioner - Nurse Practitioner 5294771036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2317 Starlight CT
Arlington, TX 76016-6425
Phone (817) 704-9882

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as individual
Quality
96.04
Improvement activities
40
Cost
58.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
513615TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Hospice Care LLC CurrentSince Feb 6, 2007 Accepting new patients
Gericare Inc. CurrentSince Feb 6, 2007 Accepting new patients

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": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1447301882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 STARLIGHT CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760166425",
            "telephone_number": "817-277-5822",
            "fax_number": "817-277-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 STARLIGHT CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760166425",
            "telephone_number": "817-277-5822",
            "fax_number": "817-277-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "KUMUD",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "513615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00413519",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491755-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KUMUD",
            "last_name": "CHAWLA",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.