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DR. KISHORE KEVIN CHUNDRU M.D.
NPI 1508284514
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since April 07, 2014PECOS Enrolled
3900 WOODLAND AVE, PHILADELPHIA, PA 19104(646) 645-2707 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2022, Jun 14, 2019 (2 updates tracked since 2019).

About Dr. Kishore Kevin Chundru M.d. NPPES

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

DR. KISHORE KEVIN CHUNDRU M.D. (NPI 1508284514) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD471931) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508284514
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KISHORE KEVIN CHUNDRUCredential: M.D.
Location Address3900 WOODLAND AVEPhiladelphia, PA 19104-4551
Mailing Address58 Stern Light DrMount Laurel, NJ 08054-1638
Phone(646) 645-2707
Sole ProprietorYes
Enumeration DateApril 7, 2014
Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1508284514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in PA · MD471931✔ Licensed in CA · A180071
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3900 WOODLAND AVE, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kishore Kevin Chundru M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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 20

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

MEREDITH A SPINDLER MD
Psychiatry & Neurology (Neurology)
3900 WOODLAND AVE, PADRECC, #127
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DENIS MICHAEL CAREY LCSW
Social Worker (Clinical)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 292-7700
RONALD ANDREW SPOTTS CAADC
Counselor (Addiction (Substance Use Disorder))
3900 WOODLAND AVE, ADDICTION RECOVERY UNIT 7TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
CAROL BUHRMAN RD
Dietitian, Registered (Nutrition, Gerontological)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
MS. CARLA PATRICE CLEMENTS RN, CRNP
Nurse Practitioner (Acute Care)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DR. FAUZIA HUSSAIN PHARM.D.
Pharmacist (Pharmacotherapy)
3900 WOODLAND AVE, PHARMACY SERVICE #119
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4153
MR. FREDRICK W CLAUSS MPT
Physical Therapist
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DR. LEAH C JONES M.D.
Internal Medicine
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5967

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 Kishore Chundru's NPI number?

The NPI number for Kishore Chundru is 1508284514. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Kishore Chundru located?

Kishore Chundru practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (646) 645-2707.

What is Kishore Chundru's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kishore Chundru enrolled in Medicare?

Yes. Kishore Chundru is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kishore Chundru was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.