Active NPI
Sanjayanth R Chamakura, M.D.
- Interventional Cardiology Physician
- Keller, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- Q0021
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 98.33
- Improvement activities
- 40
- Cost
- 76.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43220 | CT | MD | Licensed Practical Nurse |
| Q0021 | TX | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Heartcare of Dallas, LLC | Current | Accepting new patients | |
| Legacy Heart Care of Grand Prairie, LLC | Current | Accepting new patients | |
| Legacy Heartcare of Dallas, LLC | Current | Accepting new patients | |
| Legacy Heart Care of Fort Worth, LLC | Current | Accepting new patients | |
| 360 Cardiac Care PC | Interventional Cardiology | Current | Accepting new patients |
| Atlanta Heart Associates PC | Interventional Cardiology | Current | 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 | Past | Accepting new patients | |
| Legacy Heart Care of South Austin, LLC | Past | Accepting new patients | |
| Mid Cities ASC, LP | Past | 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
- 9202-chamakura-sanjayanthr@direct.leadingreach.com
- https://fhir4.healow.com/fhir/r4/DCIGCD
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Texas Health Heart & Vascular Hospital | 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.
-
dba Texas Health Heart & Vascular Hospital Arlington
- Special Hospital
- Arlington, TX
- NPI 1407169196
Other
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.
-
- Interventional Cardiology Physician
- North Richland Hills, TX
- NPI 1801555784
-
dba Flow Therapy Fort Worth
- Cardiovascular Disease Physician
- Fort Worth, TX
- NPI 1730120908
-
dba Flow Therapy Grand Prairie
- Cardiovascular Disease Physician
- Grand Prairie, TX
- NPI 1174252837
-
dba Flow Therapy
- Cardiovascular Disease Physician
- Plano, TX
- NPI 1144520503
-
dba Flow Therapy McKinney
- Cardiovascular Disease Physician
- McKinney, TX
- NPI 1275215808
-
- Cardiovascular Disease Physician
- McDonough, GA
- NPI 1851327241
Interventional Cardiology
-
dba Flow Therapy North Dallas
- Cardiovascular Disease Physician
- Dallas, TX
- NPI 1265150205
-
dba Flow Therapy South Austin
- Cardiovascular Disease Physician
- Kyle, TX
- NPI 1346768892
-
- Ambulatory Surgical Clinic/Center
- Bedford, TX
- NPI 1356798854
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
-
dba Medical City North Hills
- General Acute Care Hospital
- North Richland Hills, TX
- NPI 1518911833
-
dba Medical City Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
dba Medical City Alliance
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871911016
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.