Samatha Chandupatla (NPI# 1114918356, PAC ID# 4082642871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1114918356 |
| PAC ID by PECOS | 4082642871 |
| Professional Enrollment ID | I20050802001040 |
| Full Name | Samatha Chandupatla |
| Organization Legal Name | ACCLAIM PHYSICIAN GROUP INC |
| Address |
1350 S Main St 3200 Renal Gi and Hepatology C Clinic Fort Worth TX 76104-7669 |
| Phone Number | 8177028400 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4587963582 |
| Number of Group Practice Members | 430 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450677 | TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH |
| 450039 | JPS HEALTH NETWORK |
| 450779 | TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F |
| 450672 | MEDICAL CITY FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 1350 S Main St, 3200 Renal Gi and Hepatology C Clinic, Fort Worth, TX 76104-7669 | 8177028400 | ACCLAIM PHYSICIAN GROUP INC |
| 711 Pennsylvania Ave, Fort Worth, TX 76104-2222 | 8172590611 | FORT WORTH RENAL GROUP PA |
| Organization Legal Name | ACCLAIM PHYSICIAN GROUP INC |
| Physicians | 457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dara L Grieger | Preventative Medicine | Acclaim Physician Group Inc | 100 N Lamar St, Tarrant Correctional, Fort Worth, TX 76196-0216 |
| Sherry V Lexington | Nurse Practitioner | Acclaim Physician Group Inc | 3308 Deen Rd, Fort Worth, TX 76106-6524 |
| Mario Garcia Gonzalez | Physician Assistant | Acclaim Physician Group Inc | 1450 8th Ave, Fort Worth, TX 76104-4110 |
| Jamie Renee Shields | Nurse Practitioner | Acclaim Physician Group Inc | 2200 Ephriham Ave, Health Center for Women and Children Nw, Fort Worth, TX 76164-6642 |
| Gladys Onchwati | Nurse Practitioner | Acclaim Physician Group Inc | 1617 Hemphill St, Fort Worth, TX 76104-4709 |
| Ghazanfar Ali | Family Medicine | Acclaim Physician Group Inc | 3200 W Euless Blvd, Euless, TX 76040-6253 |
| Nicholas Lefevre | Family Medicine | Acclaim Physician Group Inc | 3301 Stalcup Rd, Fort Worth, TX 76119-1726 |
| Jennifer Kay Allard | Nurse Practitioner | Acclaim Physician Group Inc | 1513 E Presidio St, Jps Medical Home True Worth Place, Fort Worth, TX 76102-6735 |
| Pooja Tolaney | Internal Medicine | Acclaim Physician Group Inc | 1350 S Main St Fl, 1 Healing Wings/infectious Disease, Fort Worth, TX 76104-7611 |
| Heather Autry | Family Medicine | Acclaim Physician Group Inc | 701 E I, 20 Orthopedic and Sports Medicine Center, Arlington, TX 76018-1130 |
| Street Address |
1350 S MAIN ST 3200 RENAL GI AND HEPATOLOGY C CLINIC |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-7669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geethanjali Ramamurthy | Nephrology | Acclaim Physician Group Inc | 1350 S Main St, 3200 Renal Gi and Hepatology C Clinic, Fort Worth, TX 76104-7669 |
| Matthew J Dahle | Nurse Practitioner | Acclaim Physician Group Inc | 1350 S Main St, 3200 Renal Gi and Hepatology C Clinic, Fort Worth, TX 76104-7669 |
| Sathish Karmegam | Internal Medicine | Acclaim Physician Group Inc | 1350 S Main St, 3200 Renal Gi and Hepatology C Clinic, Fort Worth, TX 76104-7669 |
| Vikram Anand | Gastroenterology | Acclaim Physician Group Inc | 1350 S Main St, 3200 Renal Gi and Hepatology C Clinic, Fort Worth, TX 76104-7669 |
| Charles French | Optometry | 1350 S Main St, Madisonville, KY 42431-3380 | |
| Donald W Greve | Chiropractic | 1350 S Main St, Madisonville, KY 42431-3380 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | NEPHROLOGY |
| City + Specialty | FORT WORTH + NEPHROLOGY |
Please comment or provide details below to improve the information on Samatha Chandupatla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.