MEDHA CHUNDURU (MD) – Family Medicine Physician, NPI 1013395086

MEDHA CHUNDURU (MD) is a healthcare provider. based in Rockford, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. T8511 (TX). The NPI Number for MEDHA CHUNDURU (MD) is 1013395086

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MEDHA CHUNDURU (MD)
NPI
1013395086
Phone
(815) 972-1000
Address
1221 E STATE ST
Enumeration Date
11 May 2015
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008132000
Graduation Year
2012 (14 years ago)
PAC ID
4880998954
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20260227000048
Address ID
OR970053460BE4855XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for MEDHA CHUNDURU (MD)

  • 1221 E STATE ST

    ROCKFORD, IL 611042231

    Phone: (815) 972-1000

    Fax: (815) 972-1093

    Type: Mailing

  • 1521 S STAPLES ST STE 300

    CORPUS CHRISTI, TX 784043113

    Phone: (361) 694-1498

    Fax: (361) 694-1499

    Type: Mailing

  • 1521 S Staples St Ste 300

    Corpus Christi, TX 784043113

    Phone: (361) 694-1498

    Fax: (361) 694-1499

    Type: Location

  • 500 NE MULTNOMAH ST STE 100

    PORTLAND, OR 972322031

    Phone:

    Type: Mailing

  • 4855 SW WESTERN AVE

    BEAVERTON, OR 970053460

    Phone: (800) 813-2000

    Type: Location

  • 4101 S STAPLES ST

    CORPUS CHRISTI, TX 784115501

    Phone: (361) 883-8001

    Fax: (361) 814-0000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-02-03 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($146).

Total Amount

$319

General + Research + Ownership

Payments

4

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220810001248IFamily PracticeTXTBD
I20260226000082IFamily PracticeWATBD
I20260227000048IFamily PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3526$0
36415Insertion of needle into vein for collection of blood sample2322$0
99214Established patient office or other outpatient visit, 30-39 minutes2019$0
99212Established patient office or other outpatient visit, 10-19 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 61104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
D E R M A T O L O G YAZ
Diagnostic RadiologyOR
-OR
Osteopathic Manipulative Medicine, Physical Medicine And RehabilitationCO
-CA
Cardiovascular Disease (Cardiology)OR
General SurgeryCA
-OR
-OR

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify MEDHA CHUNDURU (MD) for billing?
Administrative and clinical systems typically use NPI 1013395086 for MEDHA CHUNDURU (MD).
Is MEDHA CHUNDURU (MD) currently accepting referrals based on NPI status?
Registry metadata lists MEDHA CHUNDURU (MD) as active.
Which specialty label fits MEDHA CHUNDURU (MD)?
NPPES ties MEDHA CHUNDURU (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MEDHA CHUNDURU (MD) tied to Rockford, Illinois?
If you are local to Rockford, Illinois, MEDHA CHUNDURU (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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