Krishna C Chunduri, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

036118798 Issued in IL

Practice address

6524 W Archer Ave
Chicago, IL 60638-2400

Phone

(773) 717-0890

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Advanced Spine and Pain Specialists, S.C.

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
  • NPI 1417208331
  Medicare reassignment NPD Authorized official
• Sahag LLC

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1174035513
  Medicare reassignment
• 1925 E Rand LLC

  dba Rand Medical Center

  • Multi-Specialty Clinic/Center
  • Arlington Heights, IL
  • NPI 1861816571
  NPD (past)
• Metro Pain Management, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Des Plaines, IL
  • NPI 1679858674
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1760684377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15W302 60TH ST",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275201",
            "telephone_number": "312-952-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382400",
            "telephone_number": "773-717-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNDURI",
        "first_name": "KRISHNA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036118198",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036118798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01638884",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118798",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Mei Chun, OTD, OTR/L
• Jee-Sun Jacqueline Chun, D.D.S.
• Yeona Chun, M.D.
• Yong Chul Chun, MD
• Vishnu Chundi, MD
• Chung M. Song, MD, SC
• Kristina Eunjoo Chung-Hellinga, D.C.
• Beth Chung, M.S.
• Bow Young Chung, M.D.
• Brian Chung, M.D.

• Pain Medicine (Anesthesiology) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.