George Chudolij, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

47714 Issued in MA

Practice address

326 Nichols Rd
Suite 16
Fitchburg, MA 01420-1914

Phone

(978) 665-5800

Fax

(978) 665-5802

NPI assigned

Aug 9, 2005

Last updated

Dec 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gchudolij@direct.excelahealth.org
• Direct secure messaging: gchudolij57106@direct.southcoast.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba APHMFP-Radiology

  • Diagnostic Radiology Physician
  • Milton, MA
  • NPI 1245773308
  Medicare reassignment NPD
• Gbaa Holdings, PLLC

  dba Greater Boston Anesthesia Associates

  • Anesthesiology Physician
  • Acton, MA
  • NPI 1790299592
  Medicare reassignment NPD
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629
  Medicare reassignment NPD
• MVP Anesthesia Associates, PC

  • Anesthesiology Physician
  • Norwood, MA
  • NPI 1477507598

  RI

  Medicare reassignment
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba APHMFP-Anesthesia

  • Anesthesiology Physician
  • Plymouth, MA
  • NPI 1568859643
  NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba Associated Physicians of HMFP

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1861216038
  NPD
• Southcoast Physicians Group, Inc.

  dba Southcoast Urgent Care Center

  • Emergency Medicine Physician
  • Fairhaven, MA
  • NPI 1861830143
  NPD
• Southcoast Physicians Group, Inc.

  • Orthopaedic Surgery Physician
  • North Dartmouth, MA
  • NPI 1902201536
  NPD
• Anesthesia Associates of Nashoba PC

  • Anesthesiology Physician
  • Ayer, MA
  • NPI 1710214077
  NPD (past)
• Anesthesiology Assoc of Taunton Inc

  • Anesthesiology Physician
  • Taunton, MA
  • NPI 1780754002
  NPD (past)
• Medical Anesthesiology Consultants

  • Anesthesiology Physician
  • Fitchburg, MA
  • NPI 1437104205
  NPD (past)
• A&B Anesthesia Associates, PC

  • Anesthesiology Physician
  • Woonsocket, RI
  • NPI 1235279092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1003817560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3008",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042433008",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NICHOLS RD",
            "address_2": "SUITE 16",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-665-5800",
            "fax_number": "978-665-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDOLIJ",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "47714",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "47714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194298",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim K Chin, R. PH.
• Chiropractic Care Center, LLC
• Chiropractic Care Center, LLC
• Beniamin Chitu, PA-C
• Karla Christo, M.D.
• City of Fitchburg
• City of Fitchburg
• City of Fitchburg
• Christian Clark
• Iris Y Clarke

• Anesthesiology Physician in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.