SAMATHA CHANDUPATLA MD
NPI 1114918356
Internal Medicine - Nephrology in Fort Worth, TX

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
1902 WINDSOR PL STE 102, FORT WORTH, TX 76110(682) 207-1700(682) 250-5246 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2021, Mar 25, 2021 (2 updates tracked since 2021).

About Samatha Chandupatla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMATHA CHANDUPATLA MD (NPI 1114918356) is an individual nephrology provider in Fort Worth, Texas, licensed in Texas (M1045) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1114918356
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSAMATHA CHANDUPATLACredential: MD
Location Address1902 WINDSOR PL STE 102Fort Worth, TX 76110-1866
Mailing Address1902 Windsor Pl Ste 102Fort Worth, TX 76110-1866 · (682) 207-1700 · Fax (682) 250-5246
Fax(682) 250-5246
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 4, 2005
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
NPI 1114918356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · M1045
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1902 WINDSOR PL STE 102, Fort Worth, TX 76110

Secondary Practice Locations 6

Location 14351 Booth Calloway Rd Ste 404North Richland Hills, TX 76180-7381 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 25901 S Hulen St Ste BFort Worth, TX 76132-2687 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 311803 South Fwy Ste 201Burleson, TX 76028-7029 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 410840 Texas Health Trl Ste 200Fort Worth, TX 76244-6848 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 56312 Azle AveLake Worth, TX 76135-2442 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 6101 Crown Pointe Blvd Ste 340Willow Park, TX 76087-1197 · Phone (682) 207-1700 · Fax (682) 250-5246

Other Identifiers 3

Medicaid1114918356TX
Other8U1252TX · Blue Cross
Medicaid174471605TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samatha Chandupatla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082642871
PECOS Enrollment IDI20050802001040
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
253 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
200 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
198 services56 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
122 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services38 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110
Nurse Practitioner
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110
Nurse Practitioner
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110
Nurse Practitioner (Acute Care)
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110
Nurse Practitioner (Gerontology)
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110
Nurse Practitioner (Acute Care)
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110
Radiology (Vascular & Interventional Radiology)
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110
Internal Medicine (Nephrology)
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114918356, enumerated as an "individual" on November 04, 2005.

The provider is located at 1902 WINDSOR PL STE 102 FORT WORTH, TX 76110 and the phone number is (682) 207-1700.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Samatha Chandupatla is affiliated with: JPS HEALTH NETWORK and TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH.