Individual provider Active NPI

Carolyn Thompson Chudy, DO

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Irvine, CA
National Provider Identifier
1043500218
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
19209 Issued in CA
Practice address
1000 Fivepoint
Irvine, CA 92618-2377
Phone
(800) 826-4673
NPI assigned
Apr 8, 2011
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A19209 CA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 19209 CA Primary

Addresses

Primary practice location

1000 Fivepoint
Irvine, CA 92618-2377

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, TN, PA, DE, CA, MN, WA, AL, OH, MI, CO, AZ, WI, OK, NM, MT, NJ, MS, TX, KY, LA, IN, MO, IL, RI, CT, AR, IA, VA, UT, GA, ME, NH, ID, WV, MD, MA, KS, NE, NC, SC, VT, AK, DC45 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 45

Enrollment IDStateProvider typePAC IDDetails
I20140723002147 NY Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 2 organizations
I20220516001573 FL Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20220613001088 TN Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20220803000044 PA Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20220803000554 DE Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20221007002366 CA Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 3 organizations
I20221019001401 MN Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20221118000462 WA Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20221121001799 AL Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20221122002786 OH Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20221129001109 MI Practitioner - Physical Medicine and Rehabilitation 8527284785
I20221130001748 CO Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20221202001807 AZ Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20221209002397 WI Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20221213003097 OK Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20221213003195 NM Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230113002055 MT Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230123001176 NJ Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230123001245 MS Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230123001337 TX Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230125001169 KY Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230127001209 LA Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230127002784 IN Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230128000313 MO Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230202002667 IL Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230216000500 RI Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230317001216 CT Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230503000189 AR Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230519002822 IA Practitioner - Physical Medicine and Rehabilitation 8527284785
I20230530002712 VA Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230601003171 UT Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20230609002633 GA Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20231102001486 ME Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20231102001695 NH Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20231102002704 ID Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20231103003513 WV Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20231118000295 MD Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20231120002415 MA Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20240229003331 KS Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20240229003485 NE Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20240305001813 NC Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20240307002584 SC Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20240308002101 VT Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization
I20240425000529 AK Practitioner - Physical Medicine and Rehabilitation 8527284785
I20240517002768 DC Practitioner - Physical Medicine and Rehabilitation 8527284785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians

Practice addresses (Care Compare)

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2563NEMDMental Health Counselor
4488TNMDMental Health Counselor
7565OKMDGeneral Practice Dentistry
19209CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vori Health Medical Group Physical Medicine & Rehabilitation CurrentSince Sep 1, 2022 Accepting new patients
Emusc, LLC CurrentSince Apr 1, 2018 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Aug 2, 2025 Accepting new patients
Oshi Health Medical Group, P.a. Past Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
Jayapal a Reddy MD and Radha T Reddy MD Inc PastSince Jul 1, 2015 Accepting new patients

Locations

2035 Corte del Nogal
Carlsbad, CA 92011
Phone (909) 764-4360

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

2710 Gateway Oaks Dr
Ste 150N
Sacramento, CA 95833
Phone (817) 966-0621

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

82 Nassau St
New York, NY 10038
Phone (347) 625-3993

100 Powell Pl
#1441
Nashville, TN 37204

Interoperability endpoints

  • Direct secure messaging: telemed2u.carolynchudy@160918.advancedmd-direct.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1043500218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FIVEPOINT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182377",
            "telephone_number": "800-826-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDY",
        "first_name": "CAROLYN",
        "middle_name": "THOMPSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A19209",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "19209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Fivepoint",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926182377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.