Individual provider Active NPI

Kiran Reddy Kancharla, MD

  • Hematology & Oncology Physician
  • Irving, TX
National Provider Identifier
1629067533
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
L2959 Issued in TX
Practice address
2021 N Macarthur Blvd Ste 400
Irving, TX 75061-2226
Phone
(972) 256-3537
Fax
(972) 255-7916
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X L2959 TX
Hematology & Oncology Physician 207RH0003X L2959 TX Primary

Addresses

Primary practice location

2021 N Macarthur Blvd Ste 400
Irving, TX 75061-2226

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

1501 W Royal Ln
Irving, TX 75063-3213
Phone (469) 513-5500

Other identifiers 3

IdentifierTypeStateIssuer
150452402MedicaidTX
150452407MedicaidTX
150452408MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000480 TX Practitioner - Hematology/OncologyPractitioner - Medical OncologyPractitioner - Hematology 2668432287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1609 Hospital Pkwy
Bedford, TX 76022-6920
Phone (817) 662-0008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L2959TXMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Hematology & Oncology CurrentSince Mar 16, 2020 Accepting new patients
Texas Oncology PA Hematology & Oncology Current Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Mar 16, 2020 Accepting new patients
Southlake Oncology Medical Oncology Past Accepting new patients
Texas Cancer Associates LLP Hematology & Oncology Past Accepting new patients
Texas Cancer Associates Past Accepting new patients

Locations

1609 Hospital Pkwy
Bedford, TX 76022
Phone (817) 359-9000

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

8230 Walnut Hill Ln
Ste 706
Dallas, TX 75231
Phone (214) 739-3467

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

4370 Medical Arts Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 537-4100

2021 N MacArthur Blvd
Ste 400
Irving, TX 75061
Phone (972) 253-3751

1501 W Royal Ln
Irving, TX 75063
Phone (469) 513-5500

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3001 George Bush Hwy
Ste 100
Richardson, TX 75082
Phone (972) 994-5411

Interoperability endpoints

  • Direct secure messaging: kiran.kancharla@txo.ikm.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1629067533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD STE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612226",
            "telephone_number": "972-256-3537",
            "fax_number": "972-255-7916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 W Royal Ln",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633213",
            "country_code": "US",
            "telephone_number": "469-513-5500",
            "fax_number": "469-420-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANCHARLA",
        "first_name": "KIRAN",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2022-04-12",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "L2959",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "L2959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150452402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150452407",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150452408",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.