Chaitanya Indukuri, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

P9880 Issued in TX

Practice address

13625 Ronald Reagan Blvd
BLDG 9, Ste 100
Cedar Park, TX 78613

Phone

(512) 856-5645

NPI assigned

Apr 29, 2010

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

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

Specialty

Ophthalmology

Education

University of Texas Southwestern Medical School at Dallas, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Retina Group of Texas, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Cedar Park, TX
  • NPI 1952867996
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1912224031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 RONALD REAGAN BLVD, BLDG 9",
            "address_2": "STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132073",
            "telephone_number": "512-856-5645",
            "fax_number": "512-729-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 RONALD REAGAN BLVD",
            "address_2": "BLDG 9, STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-856-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDUKURI",
        "first_name": "CHAITANYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "P9880",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P9880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibex Medical Solutions PLLC
• Ideal Dental Brush Cedar Park PLLC
• Thomas Drayton Ince, DDS
• Including You Therapy Services
• Individual & Family Solutions
• Infinite Recovery, LLC
• Insight Ridge Counseling
• Inspire Behavior Therapy
• Inspire Behavior Therapy & Consulting
• Integrity Psychology of Austin PLLC

• Ophthalmology Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.