SOUTHWEST DIABETES AND ENDOCRINOLOGY
NPI 1407322449
Internal Medicine - Endocrinology, Diabetes & Metabolism in Arlington, TX

Active since October 17, 2018CLIA 45D2158785 · Waiver
3602 MATLOCK RD STE 202, ARLINGTON, TX 76015(682) 302-0430 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 10, 2020, Oct 17, 2018 (2 updates tracked since 2018).

About Southwest Diabetes And Endocrinology NPPES

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

SOUTHWEST DIABETES AND ENDOCRINOLOGY (NPI 1407322449) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Arlington, Texas and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists Adriane Alexander, Consultant, as its authorized official.

NPPES Registry Identity

NPI1407322449
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameCHANDANA KONDURU, PLLC
Location Address3602 MATLOCK RD STE 202Arlington, TX 76015-3600
Mailing Address14850 Montfort Drive, Suite 181, Lb 11Dallas, TX 75254 · (214) 550-1469 · Fax (214) 446-6010
Organization SubpartNo
Authorized OfficialAdriane AlexanderConsultant · (214) 550-1469
Enumeration DateOctober 17, 2018
Last NPPES UpdateApril 10, 20202 updates tracked since enumeration
NPPES CertifiedApril 10, 2020
✔ NPI 1407322449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3602 MATLOCK RD STE 202, Arlington, TX 76015

Other Names 1

Doing Business AsSouthwest Diabetes And Endocrinology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Diabetes And Endocrinology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southwest Diabetes And Endocrinology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1669423281
3602 MATLOCK RD STE 202
Arlington, TX 76015
(972) 647-8404
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2158785

Chandana Konduru, PLLC · Arlington, TX
Active · expires Dec 5, 2026
CLIA Number45D2158785
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorChandana Konduru
Laboratory Phone(682) 302-0430
Laboratory LocationChandana Konduru, PLLC3602 Matlock Rd Suite 202, Arlington, TX 76015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chandana Konduru, PLLC's NPI number?

The NPI number for Chandana Konduru, PLLC is 1407322449. It was assigned to this organization in the NPPES registry on October 17, 2018. The provider is doing business as Southwest Diabetes And Endocrinology.

Where is Chandana Konduru, PLLC located?

Chandana Konduru, PLLC is located at 3602 Matlock Rd Ste 202, Arlington, TX 76015. The listed phone number is (682) 302-0430.

What is Chandana Konduru, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Chandana Konduru, PLLC enrolled in Medicare?

Yes. Chandana Konduru, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chandana Konduru, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Chandana Konduru, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chandana Konduru, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2158785) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chandana Konduru, PLLC was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.