Chandrakanth Boddu, MBBS

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

68721 Issued in AZ

Practice address

17300 N Perimeter Dr Ste 150
Scottsdale, AZ 85255-6598

Phone

(602) 734-1834

Fax

(602) 734-1835

NPI assigned

Jul 7, 2015

Sex

Male

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 SC, AZ, AR3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brian F. Gruber, M.D., LTD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Scottsdale, AZ
  • NPI 1700284791
  Medicare reassignment NPD
• Carolina Family Care, Inc

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722
  Medicare reassignment NPD
• Pain Treatment Centers of America, PLLC

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1841619731
  Medicare reassignment NPD
• Sanus DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1740790393
  NPD
• Carolina Family Care, Inc

  • Internal Medicine Physician
  • Lancaster, SC
  • NPI 1275564098

  Orthopaedic Surgery

  NPD
• Pain Treatment Centers of America PLLC

  • Durable Medical Equipment & Medical Supplies
  • Harrison, AR
  • NPI 1821972225
  NPD
• Neurosurgical Associates, LTD

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1043202484
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1477936615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 N PERIMETER DR STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556598",
            "telephone_number": "602-734-1834",
            "fax_number": "602-734-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 N PERIMETER DR STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556598",
            "telephone_number": "602-734-1834",
            "fax_number": "602-734-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDU",
        "first_name": "CHANDRAKANTH",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "68721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pariss Bobo-Mitchell
• Maria Boby
• Victoria C. Bocan, CRNP
• Nicholas Martin Bocchino
• David Bochantin, RPH
• Victoria Bodine
• Walter Bodjanac, D.O.
• Joshua Tony Bodrero, DO
• Body 4 Life
• Body Mechanics Physical Therapy

• Orthopaedic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.