Individual provider Active NPI

Waliul Chowdhury, M.D,

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1023639416
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT220199 Issued in PA
Practice address
1400 Locust St. Upmc Mercy Hospital
Pittsburgh, PA 15219
Phone
(412) 232-8111
NPI assigned
Apr 27, 2020
Reactivated
Apr 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT220199 PA Primary

Addresses

Primary practice location

1400 Locust St. Upmc Mercy Hospital
Pittsburgh, PA 15219

Mailing address

641 E. Waterfront Dr.
Apt 4312
Munhall, PA 15120
Phone (304) 712-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230731002071 KY Practitioner - Internal MedicinePractitioner - Hospitalist 5395106843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4471

Hospital & facility affiliations

  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • TJ Health Columbia Hospital, Columbia, KY, CCN 180149
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT220199PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jul 15, 2023 Accepting new patients
T J Samson Community Hospital Past Accepting new patients

Locations

901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Organizations & group practices 2

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1023639416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 E. WATERFRONT DR.",
            "address_2": "APT 4312",
            "city": "MUNHALL",
            "state": "PA",
            "postal_code": "15120",
            "telephone_number": "304-712-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST. UPMC MERCY HOSPITAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15219",
            "telephone_number": "412-232-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "WALIUL",
        "name_prefix": "Mr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "deactivation_date": "2022-01-10",
        "reactivation_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT220199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.