Individual provider Active NPI

Asha R Chekuri, MD

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1689694853
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S5342 Issued in TX
Practice address
125 E. Grubb Dr.
Suite 105
Mesquite, TX 75149
Phone
(972) 285-6349
Fax
(972) 289-6717
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125036686 IL
Internal Medicine Physician 207R00000X S5342 TX Primary

Addresses

Primary practice location

125 E. Grubb Dr.
Suite 105
Mesquite, TX 75149

Mailing address

125 E. Grubb Dr.
Suite 105
Mesquite, TX 75149
Phone (972) 285-6349

Other identifiers 1

IdentifierTypeStateIssuer
125036686OtherILTEMPORARY IL STATE LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125036686ILMDInternal Medicine Physician
S5342TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Internal Medicine Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: asha.chekuri@wellmed.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1689694853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E. GRUBB DR.",
            "address_2": "SUITE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "972-285-6349",
            "fax_number": "972-289-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E. GRUBB DR.",
            "address_2": "SUITE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "972-285-6349",
            "fax_number": "972-289-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEKURI",
        "first_name": "ASHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125036686",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S5342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY IL STATE LIC",
            "identifier": "125036686",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.