NPIMap

Individual provider Active NPI

Srinivas Reddy Chitti, M.D.,

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1629157607
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L0085 Issued in TX
Practice address
10501 Vista del Sol Dr
Suite 210
El Paso, TX 79925-7940
Phone
(915) 633-9317
Fax
(915) 633-8676
NPI assigned
Nov 2, 2006
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L0085 TX Primary

Addresses

Primary practice location

10501 Vista del Sol Dr
Suite 210
El Paso, TX 79925-7940

Mailing address

10501 Vista del Sol Dr
Suite 210
El Paso, TX 79925-7940
Phone (915) 633-9317

Other identifiers 2

IdentifierTypeStateIssuer
8B8778OtherMEDICARE
16664450-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000730 TX Practitioner - NephrologyPractitioner - Internal Medicine 4587640008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10501 Vista del Sol Dr
Suite 210
El Paso, TX 79925-7941
Phone (915) 633-9317

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L0085TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Srinivas Reddy Chitti MD PA Nephrology CurrentSince Mar 4, 2004 Accepting new patients
Franklin Chen PA Past Accepting new patients
Srinivasa Reddy Aaluri MD PA PastSince Mar 8, 2004 Accepting new patients

Locations

10501 Vista del Sol Dr
Ste 210
El Paso, TX 79925
Phone (915) 590-0662

10555 Vista del Sol Dr
Ste 115
El Paso, TX 79925
Phone (915) 633-9317

Interoperability endpoints

  • Direct secure messaging: srinivas.chitti.1@27124.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1629157607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 VISTA DEL SOL DR",
            "address_2": "SUITE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257940",
            "telephone_number": "915-633-9317",
            "fax_number": "915-633-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 VISTA DEL SOL DR",
            "address_2": "SUITE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257940",
            "telephone_number": "915-633-9317",
            "fax_number": "915-633-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTI",
        "first_name": "SRINIVAS",
        "middle_name": "REDDY",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L0085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8B8778",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16664450-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.