Individual provider Active NPI

Muhammad Ali Chaudhary, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1053933879
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PHYTEMP Issued in TX
Practice address
5109 Medical Dr
San Antonio, TX 78229-5068
Phone
(210) 450-7090
Fax
(210) 450-2104
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD482585 PA
Family Medicine Physician 207Q00000X FC3382289 PA
Family Medicine Physician 207Q00000X PHYTEMP TX Primary

Addresses

Primary practice location

5109 Medical Dr
San Antonio, TX 78229-5068

Mailing address

5109 Medical Dr
San Antonio, TX 78229-5068
Phone (210) 450-7090

Other practice location 1

4131A Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 859-1123

Other practice location 2

264 Granite Run Dr
Lancaster, PA 17601-6804
Phone (717) 721-8205

Other practice location 3

6 Perri Ave
Myerstown, PA 17067-3200
Phone (717) 949-6581

Other practice location 4

720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 639-3230

Other practice location 5

25 Monument Rd Ste 140
York, PA 17403-5057
Phone (717) 741-8003

Other practice location 6

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5085

Other practice location 7

6155 Anthony Hwy
Waynesboro, PA 17268-9734
Phone (717) 749-3181

Other practice location 8

12 St Paul Dr Ste 203
Chambersburg, PA 17201-1035
Phone (717) 264-6511

Other practice location 9

820 Chambersburg Rd
Gettysburg, PA 17325-3310
Phone (717) 337-4410

Other practice location 10

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-5190

Other practice location 11

40 V Twin Dr Ste 204
Gettysburg, PA 17325-7878
Phone (717) 339-2424

Other practice location 12

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-5198

Other practice location 13

12 St Paul Dr Ste 101
Chambersburg, PA 17201
Phone (717) 217-6760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241031001405 TX Practitioner - Family Practice 1557784550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

5109 Medical Dr
San Antonio, TX 78229-5068
Phone (210) 450-7090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD482585PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Oct 1, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine Current Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Oct 1, 2024 Accepting new patients

Locations

5109 Medical Dr
San Antonio, TX 78229
Phone (210) 450-7090

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: mchaudhary66305@direct.bostonchildrens.org
  • Direct secure messaging: mchaudhary56490@direct.utmsa.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1053933879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295068",
            "telephone_number": "210-450-7090",
            "fax_number": "210-450-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295068",
            "telephone_number": "210-450-7090",
            "fax_number": "210-450-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4131A Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229550",
            "country_code": "US",
            "telephone_number": "717-859-1123",
            "fax_number": "717-859-2898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "264 Granite Run Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176016804",
            "country_code": "US",
            "telephone_number": "717-721-8205",
            "fax_number": "717-721-8251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Perri Ave",
            "address_purpose": "LOCATION",
            "city": "Myerstown",
            "state": "PA",
            "postal_code": "170673200",
            "country_code": "US",
            "telephone_number": "717-949-6581",
            "fax_number": "717-949-2816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427481",
            "country_code": "US",
            "telephone_number": "717-639-3230",
            "fax_number": "717-274-1659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035057",
            "country_code": "US",
            "telephone_number": "717-741-8003",
            "fax_number": "717-461-7404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5085",
            "fax_number": "717-839-6463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6155 Anthony Hwy",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172689734",
            "country_code": "US",
            "telephone_number": "717-749-3181",
            "fax_number": "717-749-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-264-6511",
            "fax_number": "717-264-1081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Chambersburg Rd",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173253310",
            "country_code": "US",
            "telephone_number": "717-337-4410",
            "fax_number": "717-337-0267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-812-5190",
            "fax_number": "717-637-2245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 V Twin Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173257878",
            "country_code": "US",
            "telephone_number": "717-339-2424",
            "fax_number": "717-334-6659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "717-356-5198",
            "fax_number": "717-356-5199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-217-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "MUHAMMAD",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD482585",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "FC3382289",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PHYTEMP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.