Active NPI
Umaran Choudry, M.D.
- Emergency Medicine Physician
- Midlothian, VA
National Provider Identifier
1033375654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101248234
- Practice address
- 13700 St Francis Blvd
Emergency Medicine Department
Midlothian, VA 23114-3222 - Phone
- (804) 594-7950
- Fax
- (804) 594-7955
- NPI assigned
- Aug 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101248234 | VA | Primary |
| Emergency Medicine Physician | 207P00000X | MD440889 | VA |
Addresses
Primary practice location
13700 St Francis Blvd
Emergency Medicine Department
Midlothian, VA 23114-3222
Mailing address
38935 Ann Arbor Rd
Credentialing/Payer Contracting Services
Livonia, MI 48150-3397
Phone (734) 632-0175
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12237907 | Other | CAQH | |
| 1033375654 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101248234 | VA | MD | Emergency Medicine Physician |
| MD440889 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exigence of Bradford LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Bradford, PA
- NPI 1942452933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1033375654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38935 ANN ARBOR RD",
"address_2": "CREDENTIALING/PAYER CONTRACTING SERVICES",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503397",
"telephone_number": "734-632-0175",
"fax_number": "734-632-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13700 ST FRANCIS BLVD",
"address_2": "EMERGENCY MEDICINE DEPARTMENT",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231143222",
"telephone_number": "804-594-7950",
"fax_number": "804-594-7955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDRY",
"first_name": "UMARAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-03",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101248234",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "MD440889",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12237907",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033375654",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.