Individual provider Active NPI

Madhurima Chowdhury

  • Pediatrics Physician
  • Greenwich, CT
National Provider Identifier
1023697398
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
78664 Issued in CT
Practice address
25 Valley Dr Ste 2
Greenwich, CT 06831-5203
Phone
(203) 622-4301
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 78664 CT Primary

Addresses

Primary practice location

25 Valley Dr Ste 2
Greenwich, CT 06831-5203

Mailing address

25 Valley Dr Ste 2
Greenwich, CT 06831-5203
Phone (203) 622-4301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240930000628 CT Practitioner - Pediatric Medicine 5597296715 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78664CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Sep 9, 2024 Accepting new patients
Greenwich Hospital CurrentSince Sep 9, 2024 Accepting new patients
Valley Pediatrics of Greenwich, LLC PastSince Jun 30, 2024 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1023697398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VALLEY DR STE 2",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315203",
            "telephone_number": "203-622-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 VALLEY DR STE 2",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315203",
            "telephone_number": "203-622-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "MADHURIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "78664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.