Dr Kishore Kevin Chundru, MD in Philadelphia, PA

Dr Kishore Kevin Chundru, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Philadelphia, Pennsylvania. His current practice location is 3900 Woodland Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (646) 645-2707.

Dr Kishore Kevin Chundru is licensed to practice in Pennsylvania (license number MD471931) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508284514.

Contact Information

	Dr Kishore Kevin Chundru, MD
	3900 Woodland Ave, Philadelphia, PA 19104-4551
	(646) 645-2707
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kishore Kevin Chundru
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	3900 Woodland Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508284514
Provider Enumeration Date: 04/07/2014
Last Update Date: 08/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6709122922
Enrollment ID: I20220831003134

Medical Identifiers

Medical identifiers for Dr Kishore Kevin Chundru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508284514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A180071 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD471931 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kishore Kevin Chundru allows following entities to bill medicare on his behalf.

Entity Name	Redwood Radiology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326461708 PECOS PAC ID: 7214168095 Enrollment ID: O20140319001514

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kishore Kevin Chundru is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kishore Kevin Chundru, MD 58 Stern Light Dr, Mount Laurel, NJ 08054-1638 Ph: () -	Dr Kishore Kevin Chundru, MD 3900 Woodland Ave, Philadelphia, PA 19104-4551 Ph: (646) 645-2707

Reviews and Comments

Radiology Doctors in Philadelphia, PA

Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627

Dr Kishore Kevin Chundru, MD - Medicare Radiology in Philadelphia, PA