Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nitin John Kondamudi, MD

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1568858603

Nitin John Kondamudi, MD is an Internal Medicine in Tyler, Texas. Graduated from Rutgers New Jersey Medical School in 2015, 11 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Trained at
Rutgers New Jersey Medical School
Licensed in
TX
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2608 McDonald Rd
Tyler, TX 75701-5934
Phone: (903) 595-5514
Fax: (903) 262-3715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence R6220 (TX)

Record details

NPI number1568858603
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2015
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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