NPIMap

Individual provider Active NPI

Zeenat Chowdhury-Jackson, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1053491050
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28573 Issued in AZ
Practice address
1500 W Commerce CT BLDG 1
Tucson, AZ 85746-6074
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K8080 TX
Internal Medicine Physician 207R00000X 28573 AZ Primary

Addresses

Primary practice location

1500 W Commerce CT BLDG 1
Tucson, AZ 85746-6074

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Other identifiers 1

IdentifierTypeStateIssuer
790510MedicaidAZ

Other names 1

  • Zeenat Chowdhury Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000573 AZ Practitioner - Internal MedicinePractitioner - Endocrinology 8224082433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 W Irvington Rd
Tucson, AZ 85714-3050
Phone (520) 670-3909

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8080TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Mar 28, 2011 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Mar 28, 2011 Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Associated Internists of Tucson, PLLC Internal Medicine Past Accepting new patients
Inpatient Medical Consultants PLLC Internal Medicine PastSince Nov 10, 2010 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center Past Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

101 W Irvington Rd
Bldg 3C
Tucson, AZ 85714
Phone (520) 573-0096

1500 W Commerce Ct
Bldg 1
Tucson, AZ 85746
Phone (520) 309-3006

1500 W Commerce Ct
Bldg 12
Tucson, AZ 85746

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 205-4997

1101 E Broadway Blvd
Tucson, AZ 85719
Phone (520) 624-7750

Interoperability endpoints

  • Direct secure messaging: zchowdhuryjackson18127@elrio.direct.ci.com

Organizations & group practices 11

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1053491050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W COMMERCE CT BLDG 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466074",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY-JACKSON",
        "first_name": "ZEENAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8080",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "28573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790510",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZEENAT",
            "last_name": "CHOWDHURY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.