Individual provider Active NPI

Ajitha Chandramohan, M.D.

  • Internal Medicine Physician
  • Center, TX
National Provider Identifier
1841297892
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7000 Issued in TX
Practice address
1743 Southview Cir
Center, TX 75935-9324
Phone
(936) 591-8888
Fax
(936) 591-8884
NPI assigned
Jul 6, 2005
Last updated
Jan 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K7000 TX Primary

Addresses

Primary practice location

1743 Southview Cir
Center, TX 75935-9324

Mailing address

1743 Southview Cir
Center, TX 75935-9324
Phone (936) 591-8888

Other identifiers 1

IdentifierTypeStateIssuer
156997201MedicaidTX

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
K7000TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajitha Chandramohan, M.D., P.a. Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
Catalyst Physician Group - Etx PLLC Internal Medicine PastSince Feb 3, 2025 Accepting new patients

Locations

1743 Southview Cir
Center, TX 75935
Phone (903) 692-3219

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30724/brand/1/csg/1/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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1841297892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 SOUTHVIEW CIR",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759359324",
            "telephone_number": "936-591-8888",
            "fax_number": "936-591-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 SOUTHVIEW CIR",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759359324",
            "telephone_number": "936-591-8888",
            "fax_number": "936-591-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAMOHAN",
        "first_name": "AJITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156997201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.