Organization Active NPI

Srinivas Reddy Chitti MD PA

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1891796892
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L0085 Issued in TX
Legal business name
SRINIVAS REDDY CHITTI MD PA
Practice address
10501 Vista del Sol Dr
Suite 210
El Paso, TX 79925-7940
Phone
(915) 633-9317
Fax
(915) 633-8676
NPI assigned
Aug 2, 2005
Last updated
Oct 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Srinivas Reddy Chitti, MDNPI 1629157607
Title
Owner
Phone
(915) 633-9317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L0085 TX Primary

Addresses

Primary practice location

10501 Vista del Sol Dr
Suite 210
El Paso, TX 79925-7940

Mailing address

10501 Vista del Sol Dr
Suite 210
El Paso, TX 79925-7940
Phone (915) 633-9317

Other identifiers 1

IdentifierTypeStateIssuer
00734WOtherMEDICARE

Other names 1

  • Professional Association Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000700 TX Part B Supplier - Clinic/Group Practice 2860478377 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

10501 Vista del Sol Dr
Ste 210
El Paso, TX 79925
Phone (915) 590-0662

10555 Vista del Sol Dr
Ste 115
El Paso, TX 79925
Phone (915) 633-9317

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1891796892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 VISTA DEL SOL DR",
            "address_2": "SUITE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257940",
            "telephone_number": "915-633-9317",
            "fax_number": "915-633-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 VISTA DEL SOL DR",
            "address_2": "SUITE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257940",
            "telephone_number": "915-633-9317",
            "fax_number": "915-633-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRINIVAS REDDY CHITTI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "CHITTI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-633-9317",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L0085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00734W",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.