Individual provider Active NPI

Ranjana Chandramouli, MD

  • Pediatrics Physician
  • Plano, TX
National Provider Identifier
1790769388
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q2262 Issued in TX
Practice address
2520 K Ave Ste 100
Plano, TX 75074-5342
Phone
(469) 488-3900
Fax
(469) 488-3901
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q2262 TX Primary

Addresses

Primary practice location

2520 K Ave Ste 100
Plano, TX 75074-5342

Mailing address

2520 K Ave Ste 100
Plano, TX 75074-5342
Phone (469) 488-3900

Other identifiers 1

IdentifierTypeStateIssuer
342293311MedicaidTX

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
I20190923001514 TX Practitioner - Pediatric Medicine 1456331818 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Adolescent Medical Center Pediatrics Current Accepting new patients
Dallas County Hospital District Current Accepting new patients
Dallas County Hospital District CurrentSince Apr 29, 2024 Accepting new patients
Dallas County Hospital District Pediatrics CurrentSince Apr 29, 2024 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Sep 1, 2019 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Sep 1, 2019 Accepting new patients
Physicians for Children Past Accepting new patients
Dresnick/Sterling Pediatric Services of Maryland, PA Pediatrics Past Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients

Locations

2350 N Stemmons Fwy
Ste F
Dallas, TX 75207

1935 Medical District Dr
#411
Dallas, TX 75235

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Interoperability endpoints

  • Direct secure messaging: rchandramouli383236@direct.phhs.org
  • Direct secure messaging: ranjana.chandramouli.p1@direct.ntachc.nextgenshare.com

Organizations & group practices 9

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1790769388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 K AVE STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745342",
            "telephone_number": "469-488-3900",
            "fax_number": "469-488-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 K AVE STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745342",
            "telephone_number": "469-488-3900",
            "fax_number": "469-488-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAMOULI",
        "first_name": "RANJANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q2262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342293311",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.