Active NPI
Mafaz Choudhary, DO
- Family Medicine Physician
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS21138
- Practice address
- 7599 Cypress Gardens Blvd Ste P
Winter Haven, FL 33884-3263 - Phone
- (863) 324-4725
- Fax
- (863) 324-4783
- NPI assigned
- May 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | OS21138 | FL | Primary |
Addresses
Primary practice location
7599 Cypress Gardens Blvd Ste P
Winter Haven, FL 33884-3263
Mailing address
7599 Cypress Gardens Blvd Ste P
Winter Haven, FL 33884-3263
Phone (863) 324-4725
Other practice location 1
1271 NW 143rd Ave
Pembroke Pines, FL 33028-2910
Phone (954) 383-5144
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
Hospital & facility affiliations
- Baycare Home Care Inc
- Winter Haven Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS21138 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
7599 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 324-4725
7599 Cypress Gardens Blvd
Ste P
Winter Haven, FL 33884
Phone (863) 324-4725
Interoperability endpoints
- mafaz.choudhary@direct.mybaycare.org
Organizations & group practices 2
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Family Medicine
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bradenton, FL
- NPI 1295728186
-
- Home Health Agency
- Lakeland, FL
- NPI 1952309171
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1073188066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7599 CYPRESS GARDENS BLVD STE P",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338843263",
"telephone_number": "863-324-4725",
"fax_number": "863-324-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7599 CYPRESS GARDENS BLVD STE P",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338843263",
"telephone_number": "863-324-4725",
"fax_number": "863-324-4783"
}
],
"practiceLocations": [
{
"address_1": "1271 NW 143rd Ave",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330282910",
"country_code": "US",
"telephone_number": "954-383-5144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOUDHARY",
"first_name": "MAFAZ",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-23",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS21138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.