CHANDRAMOHAN G MUDALIAR MD
NPI 1699749077
Internal Medicine in Fort Worth, TX
About Chandramohan G Mudaliar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANDRAMOHAN G MUDALIAR MD (NPI 1699749077) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (C19670) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1970).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chandramohan G Mudaliar 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.
Medicare Billing Reassignments
2Medicare enrollment records show Chandramohan Mudaliar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 23 clinicians in this Medicare group
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas enrollment
- 165 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Chandramohan Mudaliar's NPI number?
The NPI number for Chandramohan Mudaliar is 1699749077. It was assigned to this individual provider in the NPPES registry on February 14, 2006. The provider is also known as Chandra G Mudaliar MD.
Where is Chandramohan Mudaliar located?
Chandramohan Mudaliar practices at 122O Fifth Ave, Fort Worth, TX 76104. The listed phone number is (817) 332-3002.
What is Chandramohan Mudaliar's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Chandramohan Mudaliar enrolled in Medicare?
Yes. Chandramohan Mudaliar 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.
Which organizations bill Medicare for Chandramohan Mudaliar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chandramohan Mudaliar reassigns Medicare benefits to 2 organizations: Siripurapu Associates PLLC Medical Associates Of North Texas (Fort Worth, TX) and My Health My Resources Of Tarrant County (Fort Worth, TX). 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 Chandramohan Mudaliar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chandramohan Mudaliar accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Chandramohan Mudaliar 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 Chandramohan Mudaliar was last updated on November 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Chandramohan G Mudaliar, MD · NPI 1699749077
Internal Medicine physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since February 14, 2006.
## Identity
- **NPI:** 1699749077 (Entity type: Individual)
- **Enumerated:** February 14, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** C19670 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 122O FIFTH AVE, Fort Worth, TX 76104
- **Phone:** (817) 332-3002
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Siripurapu Associates PLLC Medical Associates Of North Texas (NPI 1023495702, Fort Worth, TX); My Health My Resources Of Tarrant County (NPI 1952423782, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1970
## Record status
- **NPPES last updated:** November 17, 2009
- **Other identifiers:** Medicaid 0989964-01 (TX); Medicare UPIN C19670 (TX); Medicare ID-Type Unspecified 00JB98 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1699749077) · Data from the CMS NPPES public registry.