Individual provider Active NPI

Chandana Konduru, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Arlington, TX
National Provider Identifier
1669423281
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
Q0778 Issued in TX
Practice address
3602 Matlock Rd Ste 202
Arlington, TX 76015-3600
Phone
(972) 647-8404
Fax
(972) 641-8398
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0070397 MD
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Q0778 TX Primary

Addresses

Primary practice location

3602 Matlock Rd Ste 202
Arlington, TX 76015-3600

Mailing address

3602 Matlock Rd Ste 202
Arlington, TX 76015-3600
Phone (682) 302-0430

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151205000224 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 9335165620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3602 Matlock Rd
Suite 202
Arlington, TX 76015-3600
Phone (682) 302-0430

Hospital & facility affiliations

  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

Merit-based Incentive Payment System (MIPS)

Final score
86.34 of 100Reported as individual
Quality
90.13
Improvement activities
40
Cost
67.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070397MDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chandana Konduru, PLLC Endocrinology, Diabetes & Metabolism CurrentSince Oct 25, 2018 Accepting new patients
Texas Health Physicians Group PastSince Dec 1, 2015 Accepting new patients

Locations

3602 Matlock Rd
Ste 202
Arlington, TX 76015
Phone (682) 302-0430

14850 Montfort Dr
Ste 181
Dallas, TX 75254
Phone (214) 550-1469

14860 Montfort Dr
Ste 115
Dallas, TX 75254
Phone (214) 550-1469

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDGFBD/Endpoint/JDGFBD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1669423281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 202",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "682-302-0430",
            "fax_number": "682-302-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 202",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "972-647-8404",
            "fax_number": "972-641-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDURU",
        "first_name": "CHANDANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0070397",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "Q0778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.