DR. MITA M MAJMUNDAR (M.D.) – Diagnostic Radiology Physician, NPI 1639123870
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 INTERVENTIONAL RADIOLOGY in TX
Provider Addresses for DR. MITA M MAJMUNDAR (M.D.)
815 Pennsylvania Ave
Fort Worth, TX 761042294
Phone: (817) 321-0404
Type: Location
1429 Clear Lake Rd Ste 400
Weatherford, TX 760868803
Phone: (817) 321-0404
Type: Location
17980 Dallas Pkwy Ste 200
Dallas, TX 752876817
Phone: (817) 321-0404
Type: Location
1044 N Francisco Ave
Chicago, IL 606222743
Phone: (773) 292-8278
Type: Location
119 OAKFIELD DR
BRANDON, FL 335115779
Phone: (904) 399-5800
Type: Location
Ukrainian Christian Pentecostal Church, 1044, North Francisco Avenue, Humboldt Park, West Town, Chicago, Cook County, Illinois, 60622, United States
CHICAGO, IL 606222743
Phone: (773) 292-8278
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2023-10-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).
Total Amount
$167
General + Research + Ownership
Payments
3
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $125 |
| PUMA BIOTECHNOLOGY, INC. | $23 |
| Fresenius Kabi USA, LLC | $19 |
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: 2025-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050426000231 | I | Diagnostic Radiology | IL | TBD |
| I20250124003616 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 321 | 321 | $0 |
| 77063 | Screening 3d breast mammography | 77 | 77 | $0 |
| 77066 | Diagnostic mammography of both breasts | 44 | 44 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 33 | 33 | $0 |
| 71046 | X-ray of chest, 2 views | 27 | 27 | $0 |
Insurance plans in this area (ZIP 76104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 73630 | X-ray of foot, minimum of 3 views | 61 | 57 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Diagnostic Radiology | IL |
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