Individual provider Active NPI

Harris Choudhry, MD

  • Hospitalist Physician
  • Kansas City, MO
National Provider Identifier
1073969648
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2019031575 Issued in MO
Practice address
2700 Clay Edwards Dr Ste 240
Kansas City, MO 64116-3254
Phone
(816) 455-0681
Fax
(816) 455-5294
NPI assigned
May 12, 2016
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019031575 MO
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 2019031575 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr Ste 240
Kansas City, MO 64116-3254

Mailing address

2700 Clay Edwards Dr Ste 240
Kansas City, MO 64116-3254
Phone (816) 455-0681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190910001797 MO Practitioner - HospitalistPractitioner - Internal Medicine 9931495918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2700 Clay Edwards Dr
Suite 240
North Kansas City, MO 64116-3254
Phone (816) 455-0681

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019031575MOMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Multi-Specialty CurrentSince Oct 1, 2019 Accepting new patients
Meritas Health Corporation Multi-Specialty CurrentSince Oct 1, 2019 Accepting new patients
Meritas Health Corporation Multi-Specialty Current Accepting new patients
Meritas Health Corporation Multi-Specialty Past Accepting new patients
North Kansas City Hospital Past Accepting new patients

Locations

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1073969648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163254",
            "telephone_number": "816-455-0681",
            "fax_number": "816-455-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163254",
            "telephone_number": "816-455-0681",
            "fax_number": "816-455-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "HARRIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2019031575",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2019031575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.