Mousumi Chanda-Kim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K7691 Issued in TX

Practice address

5103 Kyle Center Dr Ste 104
Kyle, TX 78640-6164

Phone

(512) 504-0855

Fax

(512) 504-0856

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mousumi Chanda Former name

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

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Halcyon Home LLC Home health agency, Austin, TX, CCN 747931
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mousumichanda-kim@aca.ssdirect.aprima.com
• Direct secure messaging: mousumi.chanda-kim.1@23563.direct.athenahealth.com

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.

• Mousumi Chanda-Kim MD PLLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1548854268
  Medicare reassignment NPD Authorized official
• Tri-County Clinical

  • Family Medicine Physician
  • Luling, TX
  • NPI 1336456227

  Internal Medicine

  NPD (past)
• Tri-County Clinical

  dba Seton Family of Doctors

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1588971477

  Internal Medicine

  NPD (past)

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

• Bir JV LLP

  dba Baylor Scott & White Institute for Rehabilitation - Lakeway

  • Rehabilitation Hospital
  • Lakeway, TX
  • NPI 1851889463

  Inpatient rehabilitation facility

  Care Compare affiliation
• Halcyon Home, LLC

  • Home Health Agency
  • Austin, TX
  • NPI 1003185059
  Care Compare affiliation

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1982772901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455289",
            "telephone_number": "512-444-4001",
            "fax_number": "512-582-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 KYLE CENTER DR STE 104",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406164",
            "telephone_number": "512-504-0855",
            "fax_number": "512-504-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDA-KIM",
        "first_name": "MOUSUMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CN818",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096822405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096822404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOUSUMI",
            "last_name": "CHANDA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Central Texas Medical Specialists, PLLC (Austin Cancer Centers)
• Melanny Guadalupe Cerda
• Hannah Chacon, MD
• Erin Rhae Chaffe, M.D.
• Zachary P Chambers, DPT
• Marci Lynn Chandler, PT
• Shao-Chun Rose Chang-Jackson, MD
• Nadine Chapman, LPC
• McAyla Chavez
• Raul Chavez

• Internal Medicine Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.