Individual provider Active NPI

Madhavi Gunda Chunduru, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Key Largo, FL
National Provider Identifier
1689639197
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
ME86926 Issued in FL
Practice address
103400 Overseas Hwy
Suite #200
Key Largo, FL 33037
Phone
(305) 853-7171
Fax
(305) 853-7151
NPI assigned
Apr 18, 2006
Last updated
Mar 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME86926 FL
Cardiovascular Disease Physician 207RC0000X ME86926 FL
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X ME86926 FL Primary

Addresses

Primary practice location

103400 Overseas Hwy
Suite #200
Key Largo, FL 33037

Mailing address

PO Box 9507
Tavernier, FL 33070-9507
Phone (305) 853-7171

Other names 1

  • Madhavi Gunda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040324000268 FL Practitioner - Cardiovascular Disease (Cardiology) 6800787292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86926FLMDCardiovascular Disease Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1689639197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9507",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330709507",
            "telephone_number": "305-853-7171",
            "fax_number": "305-853-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY",
            "address_2": "SUITE #200",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "33037",
            "telephone_number": "305-853-7171",
            "fax_number": "305-853-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNDURU",
        "first_name": "MADHAVI",
        "middle_name": "GUNDA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86926",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME86926",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "FL",
            "license": "ME86926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHAVI",
            "last_name": "GUNDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Key Largo, FL

Sources for this page

Verify at the official NPI Registry.