Kalyan Chakravarthy Vunnamadala, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

44780 Issued in OK

Practice address

1923 S Utica Ave FL 5
Tulsa, OK 74104-6520

Phone

(918) 712-3366

Fax

(918) 403-6343

NPI assigned

Mar 20, 2007

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, SD, NM3 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

Specialty

Thoracic Surgery

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Las Cruces Physician Practices, LLCGroup PAC ID 7618974858, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kalyan.vunnamadala.1@19849.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  Medicare reassignment Care Compare group NPD
• Las Cruces Physician Practices, LLC

  dba NM Cardiovascualr Associates

  • Vascular Surgery Physician
  • Las Cruces, NM
  • NPI 1093947491
  Medicare reassignment Care Compare group
• Heart Hospital of South Dakota LLC

  dba North Central Heart a Division of Avera Heart Hospital

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
  • NPI 1407109705

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  Medicare reassignment NPD
• St. John Physicians, Inc

  dba Siggins Memorial Clinic

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD
• Las Cruces Physician Practices, LLC

  dba New Mexico Cardiac Care

  • Cardiovascular Disease Physician
  • Las Cruces, NM
  • NPI 1346586195
  NPD
• Las Cruces Physician Practices, LLC

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1356390769
  NPD
• Regional Medical Laboratory, Inc

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1497773337
  NPD (past)
• Carondelet Medical Group, Inc

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1659326585
  NPD (past)

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

• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• PHC-Las Cruces Inc

  dba Memorial Medical Center of Las Cruces

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1609991207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 1ST ST STE 303",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052225",
            "telephone_number": "218-249-6050",
            "fax_number": "218-249-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE FL 5",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-712-3366",
            "fax_number": "918-403-6343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 W Saint Marys Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452612",
            "country_code": "US",
            "telephone_number": "520-396-1370",
            "fax_number": "520-396-1375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 W 69th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571088148",
            "country_code": "US",
            "telephone_number": "605-977-5000",
            "fax_number": "605-977-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUNNAMADALA",
        "first_name": "KALYAN",
        "middle_name": "CHAKRAVARTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "44780",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IA",
            "license": "MD-42919",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "73347",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SD",
            "license": "12011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tran Minh Anh Vu, AGACNP
• Daisy Vue
• Gau Z Vue, LMSW-P
• Sia Samantha Vue, APRN
• Saumya Vullaganti
• Christopher Hoang Vuong
• W Richard Loerke
• W. Scott Harrington DMD Inc.
• Wa Billco LLC
• Amy Lee Wachtman, CO

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.