Mousumi Chanda-Kim MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOUSUMI CHANDA-KIM MD PLLC

Practice address

1905 Matthews LN
Austin, TX 78745-6143

Phone

(512) 444-4001

Fax

(512) 445-6027

NPI assigned

Feb 23, 2021

Organization subpart

No

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

Authorized official

Name

Mousumi Chanda-Kim, MDNPI 1982772901

Title

Owner / Physician

Phone

(512) 619-1793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mousumi Chanda-Kim, MD

  • Internal Medicine Physician
  • Kyle, TX
  • NPI 1982772901
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1548854268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455289",
            "telephone_number": "512-444-4001",
            "fax_number": "512-582-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MATTHEWS LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456143",
            "telephone_number": "512-444-4001",
            "fax_number": "512-445-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUSUMI CHANDA-KIM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "CHANDA-KIM",
        "authorized_official_first_name": "MOUSUMI",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "512-619-1793",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Moulton
• Yvonne Marie Mounkhoune, BSN, RN, MA
• Erika Mountz, OTR
• Rebecca E Mouser, MD
• Robert L Mousselli, DO
• Michael W Mouw, M.D.
• Payam Movahed, PHARMD, RPH.
• Movement & Performance Physical Therapy
• Movement & Performance Physical Therapy
• Movement Medical LLC

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.