Individual provider Active NPI

Nageswara Rao Chunduru, M.D.

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1841360930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000027969 Issued in TN
Practice address
528 N University St
Murfreesboro, TN 37130-3012
Phone
(615) 867-3780
Fax
(615) 867-3786
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000027969 TN Primary

Addresses

Primary practice location

528 N University St
Murfreesboro, TN 37130-3012

Mailing address

528 N University St
Murfreesboro, TN 37130-3012
Phone (615) 867-3780

Other identifiers 1

IdentifierTypeStateIssuer
3719365MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111212000459 TN Practitioner - Family Practice 9638344104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

528 N University St
Murfreesboro, TN 37130-3012
Phone (615) 867-3780

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000027969TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nageswara Rao Chunduru Family Medicine CurrentSince Apr 13, 1999 Accepting new patients

Locations

528 N University St
Murfreesboro, TN 37130
Phone (615) 867-3760

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841360930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 N UNIVERSITY ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303012",
            "telephone_number": "615-867-3780",
            "fax_number": "615-867-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N UNIVERSITY ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303012",
            "telephone_number": "615-867-3780",
            "fax_number": "615-867-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNDURU",
        "first_name": "NAGESWARA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000027969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3719365",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.