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

Q: What is Samatha Chandupatla's NPI number?

The NPI number for Samatha Chandupatla is 1114918356. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Q: What is Samatha Chandupatla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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: August 09, 2026.

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

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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

Phone(682) 207-1700

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

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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 211803 South Fwy Ste 201Burleson, TX 76028-7029 · Phone (682) 207-1700 · Fax (682) 250-5246

Location 3101 Crown Pointe Blvd Ste 340Willow Park, TX 76087-1197 · Phone (682) 207-1700 · Fax (682) 250-5246

Location 46312 Azle AveLake Worth, TX 76135-2442 · Phone (682) 207-1700 · Fax (682) 250-5246

Location 510840 Texas Health Trl Ste 200Fort Worth, TX 76244-6848 · Phone (682) 207-1700 · Fax (682) 250-5246

Location 65901 S Hulen St Ste BFort Worth, TX 76132-2687 · Phone (682) 207-1700 · Fax (682) 250-5246

Other Identifiers 3

Medicaid1114918356TX

Other8U1252TX · Blue Cross

Medicaid174471605TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 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

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

Quality

89.78

Promoting Interoperability

100

Improvement Activities

Cost

56.81

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.

FORTWORTH RENAL GROUP PA

Internal Medicine (Nephrology)