Individual provider Active NPI

Chandrasekharan K Nair, M.D.

  • Cardiovascular Disease Physician
  • Colleyville, TX
National Provider Identifier
1760449680
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G6578 Issued in TX
Practice address
1308 Alexandra CT
Colleyville, TX 76034-4275
Phone
(817) 994-2637
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 G6578 TX
Cardiovascular Disease Physician 207RC0000X G6578 TX Primary
Specialist 174400000X G6578 TX

Addresses

Primary practice location

1308 Alexandra CT
Colleyville, TX 76034-4275

Mailing address

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 877-5858

Other identifiers 1

IdentifierTypeStateIssuer
137455502MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@ppghealthcare.com

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
I20070403000356 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5193829067 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G6578TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SN Cardiology Associates LLC CurrentSince Feb 6, 2024 Accepting new patients

Locations

117 Gemini Cir
Ste 403
Homewood, AL 35209

3025 N Tarrant Pkwy
Ste 100
Fort Worth, TX 76177
Phone (469) 930-4655

800 8th Ave
Ste 616
Fort Worth, TX 76104
Phone (817) 243-7995

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

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1760449680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043029",
            "telephone_number": "817-877-5858",
            "fax_number": "817-335-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ALEXANDRA CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344275",
            "telephone_number": "817-994-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "CHANDRASEKHARAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6578",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G6578",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G6578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137455502",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@ppghealthcare.com",
            "affiliation": "N",
            "address_1": "1400 8th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.