VITTAL KUMAR CHUNDRU (M.D.) – Internal Medicine Physician, NPI 1073784484
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VITTAL KUMAR CHUNDRU (M.D.)
800 E DAWSON ST
TYLER, TX 757012036
Phone: (903) 606-4129
Fax: (903) 606-1201
Type: Location
Saint Francis Hospital, 6161, South Yale Avenue, Warrenton, Tulsa, Tulsa County, Oklahoma, 74136, United States
TULSA, OK 741361902
Phone: (918) 502-1900
Fax: (918) 494-6303
Type: Location
6161 S Yale Ave
Tulsa, OK 741361902
Phone: (918) 502-1900
Fax: (918) 494-6303
Type: Location
6600, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 74137, United States
SUITE 1400
TULSA, OK 741363347
Phone: (918) 488-6001
Type: Mailing
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: 2022-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221107001376 | I | Internal Medicine | IA | TBD |
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.
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 75701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | KS | |
| Physician Assistant | UT | |
| Nephrology, Internal Medicine | PA | |
| Nurse Practitioner | TX | |
| Internal Medicine, Nephrology | TX | |
| Nephrology, Internal Medicine | TX | |
| N E P H R O L O G Y | OK | |
| N E P H R O L O G Y | TX | |
| N E P H R O L O G Y | NY | |
| Nephrology, Internal Medicine | TX |
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