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MOUSUMI CHANDA-KIM MD PLLC
NPI 1548854268
Internal Medicine in Austin, TX

Active since February 23, 2021CLIA 45D2216741 · Waiver
1905 MATTHEWS LN, AUSTIN, TX 78745(512) 444-4001(512) 445-6027 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2022, Feb 23, 2021 (2 updates tracked since 2021).

About Mousumi Chanda-kim Md Pllc NPPES

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

MOUSUMI CHANDA-KIM MD PLLC (NPI 1548854268) is a healthcare organization registered as an internal medicine in Austin, Texas and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Mousumi Chanda-kim, Owner / Physician, as its authorized official.

NPPES Registry Identity

NPI1548854268
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOUSUMI CHANDA-KIM MD PLLC
Location Address1905 MATTHEWS LNAustin, TX 78745-6143
Mailing Address2500 W William Cannon Dr Ste 303Austin, TX 78745-5289 · (512) 444-4001 · Fax (512) 582-0167
Phone(512) 444-4001
Fax(512) 445-6027
Organization SubpartNo
Authorized OfficialMousumi Chanda-kimOwner / Physician · (512) 619-1793
Enumeration DateFebruary 23, 2021
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1548854268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1905 MATTHEWS LN, Austin, TX 78745
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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 45D2216741

Mousumi Chanda-Kim, M.D. PLLC · Austin, TX
Active · expires Mar 15, 2027
CLIA Number45D2216741
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorMousumi Chanda-Kim
Laboratory Phone(512) 444-4001
Laboratory LocationMousumi Chanda-Kim, M.D. PLLC2500 W. William Cannon Drive, Suite 303, Austin, TX 78745
CLIA data matches this NPI record on: Address 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 Mousumi Chanda-Kim MD PLLC's NPI number?

The NPI number for Mousumi Chanda-Kim MD PLLC is 1548854268. It was assigned to this organization in the NPPES registry on February 23, 2021.

Where is Mousumi Chanda-Kim MD PLLC located?

Mousumi Chanda-Kim MD PLLC is located at 1905 Matthews Ln, Austin, TX 78745. The listed phone number is (512) 444-4001.

What is Mousumi Chanda-Kim MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mousumi Chanda-Kim MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2216741) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mousumi Chanda-Kim MD PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Mousumi Chanda-Kim MD PLLC 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.

When was this NPI record last updated?

The NPPES record for Mousumi Chanda-Kim MD PLLC was last updated on February 15, 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.