SAMATHA CHANDUPATLA (MD) – Nephrology Physician, NPI 1114918356
Nephrology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,168 NEPHROLOGY in TX
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Provider Addresses for SAMATHA CHANDUPATLA (MD)
1000, West Cannon Street, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761043029
Phone: (817) 877-5858
Fax: (817) 877-1308
Type: Mailing
11803 South Fwy Ste 201
Burleson, TX 760287029
Phone: (682) 207-1700
Fax: (682) 250-5246
Type: Location
6312 Azle Ave
Lake Worth, TX 761352442
Phone: (682) 207-1700
Fax: (682) 250-5246
Type: Location
101 Crown Pointe Blvd Ste 340
Willow Park, TX 760871197
Phone: (682) 207-1700
Fax: (682) 250-5246
Type: Location
5901 S Hulen St Ste B
Fort Worth, TX 761322687
Phone: (682) 207-1700
Fax: (682) 250-5246
Type: Location
4351 Booth Calloway Rd Ste 404
North Richland Hills, TX 761807381
Phone: (682) 207-1700
Fax: (682) 250-5246
Type: Location
10840 Texas Health Trl Ste 200
Fort Worth, TX 762446848
Phone: (682) 207-1700
Fax: (682) 250-5246
Type: Location
1902 WINDSOR PL STE 102
FORT WORTH, TX 761101866
Phone: (682) 207-1700
Fax: (682) 250-5246
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $711.
Total Amount is formed as General ($711) + Research ($0) + Ownership ($0) = $711.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($219).
Total Amount
$711
General + Research + Ownership
Payments
32
Total payment records
General Amount
$711
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-08-02
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 |
|---|---|---|---|---|
| I20050802001040 | I | Nephrology | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 292 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 222 | 86 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 165 | 45 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 104 | 41 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | 26 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | TX | |
| Nephrology, Internal Medicine | TX | |
| Nephrology, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nephrology, Internal Medicine | IL | |
| Nurse Practitioner | TX | |
| N E P H R O L O G Y | TX | |
| Nephrology, Internal Medicine | TX | |
| Nurse Practitioner | TX |
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