Individual provider Active NPI

Jayanta Krishna Chaudhuri, M.D.

  • Diagnostic Radiology Physician
  • Fort Sam Houston, TX
National Provider Identifier
1093769234
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K8884 Issued in TX
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 539-9582
NPI assigned
May 20, 2006
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X K8884 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-9582

Other identifiers 1

IdentifierTypeStateIssuer
144822709MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, CA, NM4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050329000155 TX Practitioner - Diagnostic Radiology 9739135252 Reassigns benefits to 11 organizations
I20210105002735 MI Practitioner - Diagnostic Radiology 9739135252 Reassigns benefits to 1 organization
I20230217000906 CA Practitioner - Diagnostic Radiology 9739135252 Reassigns benefits to 1 organization
I20230316002730 NM Practitioner - Diagnostic Radiology 9739135252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

6514 Pemview
San Antonio, TX 78240-2553
Phone (832) 509-4076

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 450-9000

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

8431 Fredericksburg Rd
San Antonio, TX 78229-3392

903 W Martin St
San Antonio, TX 78207-0903
Phone (210) 358-3400

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 324-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8884TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Apr 13, 2021 Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Aug 17, 2022 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Apr 20, 2009 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 11, 2018 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Nov 10, 2020 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Sep 9, 2020 Accepting new patients
Hurley Medical Center CurrentSince Nov 1, 2020 Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine CurrentSince Apr 20, 2009 Accepting new patients
Sierra Vista Hospital CurrentSince Mar 1, 2023 Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Aug 17, 2022 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Louisiana Pet Imaging of Alexandria, LLC Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients
Radiology Associates of San Antonio,P.a. Diagnostic Radiology Past Accepting new patients
Four Seasons Breast Foundation Past Accepting new patients
Modified Barium Swallow Service, P.a. Diagnostic Radiology Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 61)

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

3311 Prescott Rd
Ste 100
Alexandria, LA 71301
Phone (318) 442-3384

3311 Prescott Rd
Ste 4001
Alexandria, LA 71301

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

5413 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-8399

5419 Jackson Street Ext
#A
Alexandria, LA 71303
Phone (318) 441-2226

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

1601 Country Club Rd
Lake Charles, LA 70605
Phone (337) 439-7778

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1093769234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHURI",
        "first_name": "JAYANTA",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-11-28",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K8884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144822709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.