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CHAITANYA UNDAVALLI
NPI 1902427651
Internal Medicine in Bossier City, LA

Active since May 05, 2020PECOS EnrolledAccepts Medicare Assignment
2900 E TEXAS ST STE 100, BOSSIER CITY, LA 71111(318) 606-6737(833) 749-0343 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2026, Feb 24, 2025, Jun 22, 2023 and 1 more (4 updates tracked since 2020).

About Chaitanya Undavalli NPPES

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

CHAITANYA UNDAVALLI (NPI 1902427651) is an individual internal medicine provider in Bossier City, Louisiana, licensed in Louisiana (343550) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Christus Shreveport-bossier Health System, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902427651
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCHAITANYA UNDAVALLI
Location Address2900 E TEXAS ST STE 100Bossier City, LA 71111-3275
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (844) 630-0700 · Fax (877) 374-1924
Phone(318) 606-6737
Fax(833) 749-0343
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 5, 2020
Last NPPES UpdateApril 14, 20264 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1902427651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 343550
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP20085227 (TX)
2900 E TEXAS ST STE 100, Bossier City, LA 71111
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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 and accepts Medicare assignment

Chaitanya Undavalli 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.

PECOS PAC ID9638538606
PECOS Enrollment IDI20250404002095, I20260618002155
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71111 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
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 4

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

AMY A STINSON AG-ACNP-BC
Nurse Practitioner (Acute Care)
2900 E TEXAS ST STE 100
BOSSIER CITY, LA 71111
Bossier Parish (318) 606-6737
KRISTI G WILLIAMS APRN, FNP-C
Nurse Practitioner (Family)
2900 E TEXAS ST STE 100
BOSSIER CITY, LA 71111
Bossier Parish (318) 606-6737
CENTERWELL SENIOR PRIMARY CARE (LA) PC
Internal Medicine
2900 E TEXAS ST STE 100
BOSSIER CITY, LA 71111
Bossier Parish (318) 606-6737
DR. JANE TSUNG-WEN WONG FUTTERER MD
Internal Medicine
2900 E TEXAS ST STE 100
BOSSIER CITY, LA 71111
Bossier Parish (504) 977-2712

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 Chaitanya Undavalli's NPI number?

The NPI number for Chaitanya Undavalli is 1902427651. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Chaitanya Undavalli located?

Chaitanya Undavalli practices at 2900 E Texas St Ste 100, Bossier City, LA 71111. The listed phone number is (318) 606-6737.

What is Chaitanya Undavalli's specialty?

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

Is Chaitanya Undavalli enrolled in Medicare?

Yes. Chaitanya Undavalli 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.

Is Chaitanya Undavalli affiliated with any hospitals?

According to CMS data, Chaitanya Undavalli is affiliated with Christus Shreveport-Bossier Health System, Willis Knighton Medical Center and Christus Good Shepherd Medical Center.

When was this NPI record last updated?

The NPPES record for Chaitanya Undavalli was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.