Chandramohan G Mudaliar


Address: 1220 5th Ave, Fort Worth, TX 76104-4303
Phone: 8173323002

Chandramohan G Mudaliar (NPI# 1699749077, PAC ID# 2365578606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1699749077
PAC ID by PECOS 2365578606
Professional Enrollment ID I20100326000001
Full Name Chandramohan G Mudaliar
Address 1220 5th Ave
Fort Worth
TX 76104-4303
Phone Number 8173323002
Gender M
Graduation Year 1971
Primary Specialty INTERNAL MEDICINE
Secondary Specialties ADDICTION MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450135 TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH

Other Locations

Address Phone Organization
1220 5th Ave, Fort Worth, TX 76104-4303 8173323002

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 96%
ACI_EC_TRANS_HIE_1 Health Information Exchange 1%
ACI_EC_TRANS_MR_1 Medication Reconciliation 96%
ACI_EC_TRANS_PEA_1 Provide Patient Access 69%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 1%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 96%
ACI_EC_TRANS_SM_1 Secure Messaging 0%
MIPS_EC_117_overall Diabetes: Eye Exam 100%

Organization Information

Office Location

Street Address 1220 5TH AVE
City FORT WORTH
State TX
Zip 76104-4303

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Bryan J Skulpoonkitti Anesthesiology Institute of Spine and Pain Solutions Pllc 416 S Henderson St, Fort Worth, TX 76104-1017
Jonathan D Riddle Certified Registered Nurse Anesthetist (crna) 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017
Karim M Meghani Physical Medicine and Rehabilitation 425 Alabama Ave, Fort Worth, TX 76104-1022
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Competitor

Search similar physicians

City FORT WORTH
Zip Code 76104
Specialty INTERNAL MEDICINE
City + Specialty FORT WORTH + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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