Individual provider Active NPI

Chitra Muthusamy Iyer, M.D

  • Maternal & Fetal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1689884462
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
N9379 Issued in TX
Practice address
1325 Pennsylvania Ave
Suite 600
Fort Worth, TX 76104-2158
Phone
(817) 878-5298
NPI assigned
May 23, 2007
Last updated
Aug 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36118038 IL
Maternal & Fetal Medicine Physician 207VM0101X N9379 TX Primary

Addresses

Primary practice location

1325 Pennsylvania Ave
Suite 600
Fort Worth, TX 76104-2158

Mailing address

1325 Pennsylvania Ave
Suite 600
Fort Worth, TX 76104-2158
Phone (817) 878-5298

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
I20110812000610 TX Practitioner - Obstetrics/Gynecology 0547329252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Obstetrix Medical Group of Texas Billing, Inc.Group PAC ID 2365342938, 24 clinicians

Practice addresses (Care Compare)

6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone (817) 463-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36118038ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Obstetrix Medical Group of Texas Billing, Inc. Maternal & Fetal Medicine CurrentSince Jun 22, 2024 Accepting new patients
Magella Medical Associates Billing, Inc. Maternal & Fetal Medicine Past Accepting new patients

Locations (25 of 26)

1001 N Waldrop Dr
Ste 505
Arlington, TX 76012
Phone (817) 277-9415

5005 S Cooper St
Ste 275
Arlington, TX 76017
Phone (817) 277-9415

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3500 Gaston Ave
Dallas, TX 75246

411 N Washington Ave
Ste 6400
Dallas, TX 75246
Phone (214) 826-3681

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

10840 Texas Health Trl
Ste 210
Fort Worth, TX 76244
Phone (817) 540-1157

10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000

1250 8th Ave
Ste 225
Fort Worth, TX 76104
Phone (817) 922-9237

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1901 N State Highway 360
Ste 102
Grand Prairie, TX 75050
Phone (972) 647-0994

1631 Lancaster Dr
Ste 320
Grapevine, TX 76051
Phone (214) 915-8502

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

5757 Woodway Dr
Ste 275
Houston, TX 77057
Phone (713) 791-9100

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2800 E Broad St
Ste 214
Mansfield, TX 76063
Phone (682) 885-2500

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

9180 Pinecroft Dr
Ste 300
Shenandoah, TX 77380
Phone (281) 419-4600

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: chitra.iyermd.p4@direct.mednax.nextgenshare.com
  • Direct secure messaging: ciyer72108@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/

Organizations & group practices 3

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1689884462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-878-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-878-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "CHITRA",
        "middle_name": "MUTHUSAMY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "36118038",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "N9379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.