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RICARDO CHUJUTALLI MD
NPI 1154069466
Family Medicine in Mansfield, TX

Active since May 25, 2022PECOS EnrolledAccepts Medicare Assignment
1670 E BROAD ST STE 110, MANSFIELD, TX 76063(682) 341-7510 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ricardo Chujutalli Md NPPES

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

RICARDO CHUJUTALLI MD (NPI 1154069466) is an individual family medicine provider in Mansfield, Texas, licensed in Texas (V9870) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Texas Health Huguley Hospital Fort Worth South, and is a graduate of Loma Linda University School Of Medicine (2022).

NPPES Registry Identity

NPI1154069466
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICARDO CHUJUTALLICredential: MD
Location Address1670 E BROAD ST STE 110Mansfield, TX 76063-1862
Mailing Address4924 Marsh Harrier Ave.Grand Prairie, TX 75052
Phone(682) 341-7510
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2022
Enumeration DateMay 25, 2022
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1154069466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V9870
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1670 E BROAD ST STE 110, Mansfield, TX 76063
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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

Ricardo Chujutalli 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 ID8022524347
PECOS Enrollment IDI20250723000532
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.

Hospital Affiliations CMS Care Compare 2

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

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

Texas Health Hospital Mansfield

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670309
Location2300 Lone Star RoadMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

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

MRS. RENEE RACHELLE BARIL FNP-C
Nurse Practitioner (Family)
1670 E BROAD ST STE 110
MANSFIELD, TX 76063
Tarrant County (682) 341-7510
SABA SUHAIL DO
Family Medicine
1670 E BROAD ST STE 110
MANSFIELD, TX 76063
Tarrant County (682) 341-7510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Chujutalli's NPI number?

The NPI number for Ricardo Chujutalli is 1154069466. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Ricardo Chujutalli located?

Ricardo Chujutalli practices at 1670 E Broad St Ste 110, Mansfield, TX 76063. The listed phone number is (682) 341-7510.

What is Ricardo Chujutalli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ricardo Chujutalli enrolled in Medicare?

Yes. Ricardo Chujutalli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ricardo Chujutalli accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Ricardo Chujutalli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ricardo Chujutalli affiliated with any hospitals?

According to CMS data, Ricardo Chujutalli is affiliated with Texas Health Huguley Hospital Fort Worth South and Texas Health Hospital Mansfield.

When was this NPI record last updated?

The NPPES record for Ricardo Chujutalli was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.