Individual provider Active NPI

Sajid Chaudhary, MD

  • Infectious Disease Physician
  • Kissimmee, FL
National Provider Identifier
1043311707
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME 90758 Issued in FL
Practice address
102 Park Place Blvd.
BLDG D, Suite 2 &3
Kissimmee, FL 34741-2358
Phone
(407) 279-5069
Fax
(407) 378-3076
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME 90758 FL Primary

Addresses

Primary practice location

102 Park Place Blvd.
BLDG D, Suite 2 &3
Kissimmee, FL 34741-2358

Mailing address

201 Hilda St
#22
Kissimmee, FL 34741-2320
Phone (407) 279-5069

Other identifiers 2

IdentifierTypeStateIssuer
2716381 00MedicaidFL
U3407ZOtherFLPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041206000078 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 6103882840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Infectious Disease Specialists IncGroup PAC ID 8628222841, 7 clinicians

Practice addresses (Care Compare)

102 Park Place Blvd
Kissimmee, FL 34741-2358
Phone (407) 944-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 90758FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest Chung MD & Associates PA CurrentSince Sep 15, 2006 Accepting new patients
Florida Adult & Child Psychiatry, Inc Past Accepting new patients
Florida Infectious Disease Consultants P.a Infectious Disease Past Accepting new patients

Locations

2920 17th St
Saint Cloud, FL 34769
Phone (321) 284-3723

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1043311707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HILDA ST",
            "address_2": "#22",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412320",
            "telephone_number": "407-279-5069",
            "fax_number": "407-378-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK PLACE BLVD.",
            "address_2": "BLDG D, SUITE 2 &3",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412358",
            "telephone_number": "407-279-5069",
            "fax_number": "407-378-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "SAJID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 90758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2716381 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "U3407Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.