Active NPI
Chandana Konduru, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- Q0778
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- 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
- Methodist Mansfield Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.34 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0070397 | MD | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandana Konduru, PLLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Texas Health Physicians Group | Past | 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
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Arlington, TX
- NPI 1407322449
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.