Shanthini Kuduva Rajan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

U6278 Issued in TX

Practice address

1500 S Main St
Fort Worth, TX 76104-4917

Phone

(309) 660-2060

NPI assigned

May 4, 2020

Sex

Female

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 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

Specialty

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitas Healthcare of Texas, L.P. Hospice, Fort Worth, TX, CCN 451553
• Medical City Denton Hospital, Denton, TX, CCN 450634
• Faith Community Hospital Hospital, Jacksboro, TX, CCN 450241

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Questcare Hospitalists PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265441620

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429

  Internal Medicine

  Medicare reassignment NPD
• Passion Health Physicians PLLC

  • Multi-Specialty Clinic/Center
  • Irving, TX
  • NPI 1740084292

  Internal Medicine

  NPD
• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Jack County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Jacksboro, TX
  • NPI 1154419612

  Hospital

  Care Compare affiliation
• Jack County Hospital District

  • General Acute Care Hospital
  • Jacksboro, TX
  • NPI 1790777696
  Care Compare affiliation
• Vitas Healthcare of Texas, L.P.

  • Community Based Hospice Care Agency
  • Ft Worth, TX
  • NPI 1447399746
  Care Compare affiliation

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1609497387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "309-660-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDUVA RAJAN",
        "first_name": "SHANTHINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacques Kubaluka
• Ashli Kubista, RN
• Rachel Christine Kuchem, LCSW
• Dhaatri Kuchipudi, DO
• Abdulla Kudrath, M.D.
• Ryan Andrew Kuehnle, MD
• Kevin Andrew Kuenstler, M.D.
• Kristi Montgomery Kuenstler, MD
• Gina Kuenzi, RN, MSN
• Alexandra Kuhn, PA-C

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, 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 Oct 31, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.