CHANDRIKA PADMAVATHYAMMA – General Practice Registered Nurse, NPI 1063034833

CHANDRIKA PADMAVATHYAMMA is a healthcare provider. based in Cypress, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1156109 (TX). The NPI Number for CHANDRIKA PADMAVATHYAMMA is 1063034833

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CHANDRIKA PADMAVATHYAMMA
NPI
1063034833
Phone
(832) 912-3500
Address
21214 NORTHWEST FWY
Enumeration Date
14 May 2020
Last Update Date
12 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2817419145
Graduation Year
2022 (4 years ago)
PAC ID
0042624991
Group Practice PAC ID
1052725900
Professional Enrollment ID
I20240424001644
Address ID
TX774772300ST11925FWYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for CHANDRIKA PADMAVATHYAMMA

  • 21214 NORTHWEST FWY

    CYPRESS, TX 774293373

    Phone: (832) 912-3500

    Type: Location

  • 6414 DIAMANTINA CT

    KATY, TX 774937984

    Phone:

    Type: Mailing

  • 11925 SOUTHWEST FWY STE 12

    STAFFORD, TX 774772300

    Phone: (281) 741-9145

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240424001644INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77429)

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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: 1052725900View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find CHANDRIKA PADMAVATHYAMMA's NPI?
You can confirm CHANDRIKA PADMAVATHYAMMA with NPI 1063034833; it appears in the national provider directory.
Is CHANDRIKA PADMAVATHYAMMA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CHANDRIKA PADMAVATHYAMMA?
The page reflects General Practice Registered Nurse for CHANDRIKA PADMAVATHYAMMA. Clinical services aligned with this taxonomy classification.
Where does public data place CHANDRIKA PADMAVATHYAMMA?
The snapshot lists Cypress, Texas for CHANDRIKA PADMAVATHYAMMA; download NPPES for the complete set.
What if Cypress, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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