Individual provider Active NPI

Sanjayanth R Chamakura, M.D.

  • Interventional Cardiology Physician
  • Keller, TX
National Provider Identifier
1659368728
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
Q0021 Issued in TX
Practice address
1866 Keller Pkwy Ste B
Keller, TX 76248-3763
Phone
(682) 337-3810
Fax
(682) 337-3817
NPI assigned
Oct 4, 2005
Last updated
May 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X Q0021 TX Primary
Nuclear Cardiology Physician 207UN0901X Q0021 TX

Addresses

Primary practice location

1866 Keller Pkwy Ste B
Keller, TX 76248-3763

Mailing address

1866 Keller Pkwy Ste B
Keller, TX 76248-3763
Phone (682) 337-3810

Other practice location 1

4375 Booth Calloway Rd Ste 210
North Richland Hills, TX 76180-8362
Phone (682) 337-3810

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@360cardiac.com Direct

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009000223 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4385689520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Heart Care of Fort Worth, LLCGroup PAC ID 2860677341, 12 clinicians
Legacy Heartcare of Dallas, LLCGroup PAC ID 6305029653, 22 clinicians
Legacy Heart Care of Grand Prairie, LLCGroup PAC ID 9638549884, 6 clinicians
360 Cardiac Care PCGroup PAC ID 7012303985, 2 clinicians

Practice addresses (Care Compare)

2500 W Fwy
Suite 200
Fort Worth, TX 76102-5851
Phone (817) 753-8973

4716 Dexter Dr
Suite 200
Plano, TX 75093-5562
Phone (972) 490-9500

4927 Lake Ridge Pkwy
Suite 145
Grand Prairie, TX 75052-3087
Phone (817) 423-4400

8801 N Tarrant Pkwy
North Richland Hills, TX 76182-8461
Phone (682) 337-3810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
98.33
Improvement activities
40
Cost
76.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43220CTMDLicensed Practical Nurse
Q0021TXMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heartcare of Dallas, LLC CurrentSince Jul 10, 2025 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC CurrentSince Nov 17, 2022 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Jul 10, 2025 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince Dec 28, 2020 Accepting new patients
360 Cardiac Care PC Interventional Cardiology CurrentSince Feb 1, 2022 Accepting new patients
Atlanta Heart Associates PC Interventional Cardiology CurrentSince Aug 15, 2013 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Legacy Heart Care of North Dallas, LLC PastSince Aug 1, 2022 Accepting new patients
Legacy Heart Care of South Austin, LLC PastSince Aug 14, 2025 Accepting new patients
Mid Cities ASC, LP PastSince Sep 1, 2016 Accepting new patients

Locations

483 Upper Riverdale Rd SW
Ste C
Riverdale, GA 30274
Phone (770) 907-9009

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

1866 Keller Pkwy
Ste B
Keller, TX 76248
Phone (682) 337-3810

7300 Eldorado Pkwy
Ste 105
McKinney, TX 75070
Phone (945) 200-6880

4375 Booth Calloway Rd
Ste 210
North Richlnd Hls, TX 76180
Phone (817) 284-9797

8801 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 616-0700

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

Interoperability endpoints

  • Direct secure messaging: 9202-chamakura-sanjayanthr@direct.leadingreach.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCIGCD
  • Direct secure messaging: office@360cardiac.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Health Heart & Vascular HospitalArlington, TX, CCN 670071 Hospital Other (0.53%) Sep 10, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1659368728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 KELLER PKWY STE B",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483763",
            "telephone_number": "682-337-3810",
            "fax_number": "682-337-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 KELLER PKWY STE B",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483763",
            "telephone_number": "682-337-3810",
            "fax_number": "682-337-3817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4375 Booth Calloway Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761808362",
            "country_code": "US",
            "telephone_number": "682-337-3810",
            "fax_number": "682-337-3817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMAKURA",
        "first_name": "SANJAYANTH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q0021",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "Q0021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@360cardiac.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1866 Keller Pkwy Ste B",
            "city": "Keller",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762483763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.