Individual provider Active NPI

Thymur Chaudhry, M.D.

  • Neuroradiology Physician
  • Sacramento, CA
National Provider Identifier
1043660285
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
A190243 Issued in CA
Practice address
3161 L St
Sacramento, CA 95816-5234
Phone
(168) 877-8629
NPI assigned
Jun 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A190243 CA Primary
Neuroradiology Physician 2085N0700X 036.156760 IL
Diagnostic Radiology Physician 2085R0202X 125.069247 IL
Diagnostic Radiology Physician 2085R0202X 76856-20 WI

Addresses

Primary practice location

3161 L St
Sacramento, CA 95816-5234

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220621002451 WI Practitioner - Diagnostic Radiology 6305134503 Reassigns benefits to 2 organizations
I20230927002429 CA Practitioner - Interventional Radiology 6305134503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

1020 29TH St
Sacramento, CA 95816-5125

1640 E Roseville Pkwy
Suite 9
Roseville, CA 95661-3902
Phone (916) 784-2277

1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770

1655 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

1661 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

2 Medical Plaza Dr
Roseville, CA 95661-3042

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 791-0900

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

3133 Professional Dr
Auburn, CA 95603-2463
Phone (530) 885-8821

3161 L St
Sacramento, CA 95816-5234
Phone (916) 453-9999

406 Sunrise Ave
Roseville, CA 95661-4106
Phone (916) 755-7235

440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409

444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420

8118 Timberlake Way
Sacramento, CA 95823-5400
Phone (916) 681-8852

815 Court St
Jackson, CA 95642-2154

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A190243CAMDNeuroradiology Physician
036.156760ILMDNeuroradiology Physician
125.069247ILMDDiagnostic Radiology Physician
76856-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jul 12, 2022 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Fort Healthcare, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 23, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 23, 2023 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

7 Medical Plaza Dr
Ste 200
Roseville, CA 95661
Phone (916) 773-8711

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

3161 L St
Sacramento, CA 95816
Phone (916) 453-9999

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

Interoperability endpoints

  • Direct secure messaging: tchaudhry669640@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 7

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 6

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": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1043660285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 L ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165234",
            "telephone_number": "168-877-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "THYMUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-19",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A190243",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036.156760",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.069247",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "76856-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.