| Srujana Chakilam, MD | |
|
1017 12th Ave, Fort Worth, TX 76104-3915 | |
| (817) 334-2800 | |
| (817) 820-0094 |
| Full Name | Srujana Chakilam |
|---|---|
| Gender | Female |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 25 Years |
| Location | 1017 12th Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629215587 | NPI | - | NPPES |
| 327590101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P7409 (Texas) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | P7409 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical City Fort Worth | Fort worth, TX | Hospital |
| Baylor Scott & White All Saints Medical Center Fort Worth | Fort worth, TX | Hospital |
| Medical City Weatherford | Weatherford, TX | Hospital |
| Baylor Scott & White Heart & Vascular Hospital - Dallas | Dallas, TX | Hospital |
| Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heart Center Of North Texas Pa | 5092798694 | 16 |
| Entity Name | Heart Center Of North Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821202581 PECOS PAC ID: 5092798694 Enrollment ID: O20040612000161 |
| Entity Name | Legacy Heart Care Of Fort Worth, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730120908 PECOS PAC ID: 2860677341 Enrollment ID: O20110427000208 |
| Entity Name | Legacy Heart Care Of Grand Prairie |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174252837 PECOS PAC ID: 9638549884 Enrollment ID: O20230104000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Srujana Chakilam, MD 1017 12th Ave, Fort Worth, TX 76104-3915 Ph: (817) 334-2800 | Srujana Chakilam, MD 1017 12th Ave, Fort Worth, TX 76104-3915 Ph: (817) 334-2800 |
Gayane Tumyan, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420 | |
Charles A Carlton, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Christian Nguyen, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815 | |
Elie B Choufani, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305 | |
Syed Hadi Jafri, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815 |