Chandan R Kundavaram, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MT190920 Issued in PA

Practice address

14044 W Camelback Rd
Ste 118 & 216
Litchfield Park, AZ 85340-9428

Phone

(623) 547-2600

Fax

(623) 574-1899

NPI assigned

Apr 18, 2008

Sex

Male

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 AZ

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

Urology

Education

University of Arizona College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
• Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061
• Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
• Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300

Merit-based Incentive Payment System (MIPS)

Final score

24.56 of 100Reported as individual

Quality

36.82

Promoting interoperability

0

Improvement activities

0

Cost

45.05

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chandankundavaram@auua.allscriptsdirect.net

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.

• Arizona Digestive Health, PC

  • Gastroenterology Physician
  • Scottsdale, AZ
  • NPI 1992981583

  Urology

  Medicare reassignment Care Compare group NPD
• Four Peaks Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Sun City, AZ
  • NPI 1083169700
  Medicare reassignment NPD
• Arizona Center for Hematology and Oncology PLC

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1841243722

  Urology

  NPD (past)

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

• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914
  Care Compare affiliation
• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200
  Care Compare affiliation
• Community Hospital Association, Inc.

  dba Wickenburg Community Hospital

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852
  Care Compare affiliation
• VHS of Arrowhead, Inc

  dba Abrazo Arrowhead Campus

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  Care Compare affiliation
• VHS of Arrowhead, Inc.

  dba Abrazo Peoria Emergency Center

  • General Acute Care Hospital
  • Peoria, AZ
  • NPI 1801340781
  Care Compare affiliation

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1629242714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD",
            "address_2": "STE 118",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409428",
            "telephone_number": "623-547-2600",
            "fax_number": "623-574-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD",
            "address_2": "STE 118 & 216",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409428",
            "telephone_number": "623-547-2600",
            "fax_number": "623-574-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDAVARAM",
        "first_name": "CHANDAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MT190920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kovas, DMD
• Peter Kowalczyk, DPT
• Hailey Krebsbach, RBT
• Lorena Krejsta, RBT
• Antonia Christine Krotzer, COTA/L
• La Loma Senior Living Services, Inc. (La Loma Care Center)
• William Lamb
• Mark Jorell Larracas
• Aaron William Latowsky, MD
• Kayla Lavender, RBT

• Urology Physician in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.