NPIMap

Individual provider Active NPI

Jaideep Chunduri, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Cincinnati, OH
National Provider Identifier
1992795850
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
35-08-2366 Issued in OH
Practice address
6480 Harrison Avenue
Suite 201
Cincinnati, OH 45247
Phone
(513) 354-3700
Fax
(513) 354-7601
NPI assigned
Oct 24, 2005
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 35-08-2366 OH Primary

Addresses

Primary practice location

6480 Harrison Avenue
Suite 201
Cincinnati, OH 45247

Mailing address

6480 Harrison Avenue
Suite 100
Cincinnati, OH 45247
Phone (513) 354-3700

Other identifiers 7

IdentifierTypeStateIssuer
82366OtherOHHUMANA
P00042913OtherOHRAILROAD MEDICARE
3207090OtherOHAETNA
409602OtherOHWELLCARE
200197870MedicaidIN
2412222MedicaidOH
000000287763OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO, KY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060717000363 OH Practitioner - Orthopedic Surgery 2466465414 Reassigns benefits to 1 organization
I20231206004400 CO Practitioner - Orthopedic Surgery 2466465414 Reassigns benefits to 1 organization
I20240409004428 KY Practitioner - Orthopedic Surgery 2466465414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aptiva HealthGroup PAC ID 0547595316, 36 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

2093 Medical Arts Dr
Hebron, KY 41048-9315
Phone (502) 909-0772

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (502) 909-0772

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion18
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aptiva Health Orthopaedic Surgery of the Spine CurrentSince Mar 1, 2024 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Nov 28, 2023 Accepting new patients
Aptiva Health CurrentSince Mar 1, 2024 Accepting new patients
Valley View Hospital Association CurrentSince Nov 28, 2023 Accepting new patients
Aptiva Health Sports Medicine LLC PastSince Sep 1, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Deaconess Hospital, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Integrated Medical Solutions, LLC Past Accepting new patients
Aptiva Health Orthopaedic Surgery of the Spine PastSince Jul 1, 2024 Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

529 Westport Rd
Ste 2
Elizabethtown, KY 42701

2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600

2093 Medical Arts Dr
Ste 1
Hebron, KY 41048

230 Fountain Ct
Ste 180
Lexington, KY 40509
Phone (859) 276-5008

230 Fountain Ct
Ste 180A
Lexington, KY 40509

10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585

12300 Plantside Dr
Louisville, KY 40299

300 S 13th St
Louisville, KY 40203
Phone (502) 583-1011

3611 Newburg Rd
Louisville, KY 40218

3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011

3615 Newburg Rd
Ste 101
Louisville, KY 40218

401 N English Station Rd
Louisville, KY 40223

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

Interoperability endpoints

  • Direct secure messaging: jaideep.chunduri.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: jaideep.chunduri.p2@direct.beaconortho.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1992795850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVENUE",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "telephone_number": "513-354-3700",
            "fax_number": "513-354-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVENUE",
            "address_2": "SUITE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "telephone_number": "513-354-3700",
            "fax_number": "513-354-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNDURI",
        "first_name": "JAIDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OH",
            "license": "35-08-2366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "82366",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00042913",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3207090",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "409602",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200197870",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412222",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000287763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.