Organization Active NPI

Anil K Chunduri MD PA

  • Nephrology Physician
  • Katy, TX
National Provider Identifier
1912435793
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N8285 Issued in TX
Legal business name
ANIL K CHUNDURI MD PA
Practice address
633 E Fernhurst Dr Ste 704
Katy, TX 77450-1587
Phone
(832) 437-3854
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Anil Chunduri, MDNPI 1922291764
Title
Owner/Provider
Phone
(832) 437-3856

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X N8285 TX
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X N8285 TX Primary

Addresses

Primary practice location

633 E Fernhurst Dr Ste 704
Katy, TX 77450-1587

Mailing address

633 E Fernhurst Dr Ste 704
Katy, TX 77450-1587
Phone (832) 437-3856

Other practice location 1

109 Shult Dr Ste 200
Columbus, TX 78934-3015
Phone (281) 453-9334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170620003214 TX Part B Supplier - Clinic/Group Practice 9335417153 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX; Weimar, TX; Shenandoah, TX; Kingwood, TX; Katy, TX; Humble, TX; Columbus, TX

National Provider Directory

National Provider Directory

Locations

109 Shult Dr
Ste 200
Columbus, TX 78934
Phone (281) 453-9334

12121 Richmond Ave
Ste 120
Houston, TX 77082
Phone (281) 569-4647

633 E Fernhurst Dr
Ste 904
Katy, TX 77450
Phone (281) 453-9334

633 E Fernhurst Dr
Ste 704
Katy, TX 77450
Phone (713) 234-5872

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1912435793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 704",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501587",
            "telephone_number": "832-437-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 704",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501587",
            "telephone_number": "832-437-3854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Shult Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "TX",
            "postal_code": "789343015",
            "country_code": "US",
            "telephone_number": "281-453-9334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANIL K CHUNDURI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "CHUNDURI",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "832-437-3856",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N8285",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N8285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.