DR. KISHORE KEVIN CHUNDRU M.D.
NPI 1508284514
Radiology - Diagnostic Radiology in Philadelphia, PA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Kishore Chundru reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pittsburg, CA 94565
- Reassigned Medicare billing, California enrollment
- 530 clinicians in this Medicare group
Santa Rosa, CA 95405
- Reassigned Medicare billing, California enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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.
Which organizations bill Medicare for Kishore Chundru's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kishore Chundru reassigns Medicare benefits to 2 organizations: Contra Costa County (Pittsburg, CA) and Redwood Radiology Group Inc (Santa Rosa, CA). Each 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 Kishore Chundru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 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.
# Dr. Kishore Kevin Chundru, M.D. · NPI 1508284514
Diagnostic Radiology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 7, 2014.
## Identity
- **NPI:** 1508284514 (Entity type: Individual)
- **Enumerated:** April 7, 2014
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** MD471931 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3900 WOODLAND AVE, Philadelphia, PA 19104-4551
- **Phone:** (646) 645-2707
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Contra Costa County (NPI 1073691598, Pittsburg, CA); Redwood Radiology Group Inc (NPI 1326461708, Santa Rosa, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508284514) · Data from the CMS NPPES public registry.