Srujana Chakilam, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

P7409 Issued in TX

Practice address

1017 12TH Ave
Fort Worth, TX 76104-3915

Phone

(817) 334-2800

Fax

(817) 820-0094

NPI assigned

Jan 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 3

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

Cardiovascular Disease (Cardiology)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heart Center of North Texas PAGroup PAC ID 5092798694, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
• Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
• Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
• Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Merit-based Incentive Payment System (MIPS)

Final score

86.96 of 100Reported as group

Quality

81.53

Promoting interoperability

100

Improvement activities

40

Cost

74.99

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srujana.chakilam@direct.hcnt.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Heart Center of North Texas, PA

  • Cardiovascular Disease Physician
  • Weatherford, TX
  • NPI 1821202581
  Medicare reassignment Care Compare group NPD
• Legacy Heart Care of Fort Worth, LLC

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1730120908
  Medicare reassignment NPD
• Legacy Heart Care of Grand Prairie, LLC

  • Cardiovascular Disease Physician
  • Grand Prairie, TX
  • NPI 1174252837
  Medicare reassignment NPD
• Heart Center of North Texas, PA

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1396762357
  NPD

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

• Baylor All Saints Medical Center

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1669472387
  Care Compare affiliation
• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Texas Heart Hospital of the Southwest LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1609855139
  Care Compare affiliation
• Weatherford Health Services, LLC

  • General Acute Care Hospital
  • Weatherford, TX
  • NPI 1417471467
  Care Compare affiliation

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1629215587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Hilltop Dr",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865488",
            "country_code": "US",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044110",
            "country_code": "US",
            "telephone_number": "817-927-6224",
            "fax_number": "817-927-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKILAM",
        "first_name": "SRUJANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P7409",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P7409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327590101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srujana.chakilam@direct.hcnt.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1017 12th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761043915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srujana.chakilam@bswhealth.org",
            "affiliation": "N",
            "address_1": "1400 8th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srujana.chakilam@direct.hcnt.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "920 Hilltop Dr",
            "city": "Weatherford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760865488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nipa Chagan, CPNP
• Taylor Alyse Chahal, MS, LAT, ATC
• Mandeep Singh Chahil, M.D.
• Scarlett Chaidez, RD, LD
• Natalia Chaimowitz, M.D., PH.D
• Shashwata Chakrabarty, DO
• Leon Mark Chamberlin, LPC
• Donald Chambers
• Jessica Lynn Chambers, RN
• Lisa Chambers, OT

• Cardiovascular Disease Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.