Individual provider Active NPI

Umesh Choudhry, M.D.

  • Gastroenterology Physician
  • Clearwater, FL
National Provider Identifier
1093872871
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME68190 Issued in FL
Practice address
920 S Myrtle Ave
Suite a
Clearwater, FL 33756-3918
Phone
(727) 462-0444
Fax
(727) 462-0446
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME68190 FL Primary

Addresses

Primary practice location

920 S Myrtle Ave
Suite a
Clearwater, FL 33756-3918

Mailing address

3001 Executive Dr Ste 130
Clearwater, FL 33762-5323
Phone (727) 347-0005

Other practice location 1

3280 N McMullen Booth Rd Ste 140
Clearwater, FL 33761-2046
Phone (727) 286-6130

Other identifiers 1

IdentifierTypeStateIssuer
27355OtherFLBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000359 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 6406898741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

920 S Myrtle Ave
Suite a
Clearwater, FL 33756-3916
Phone (727) 462-0444

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy205
Upper gastrointestinal (GI) endoscopy for acid reflux514
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Florida Pharmacy, LLC CurrentSince Dec 15, 2019 Accepting new patients
West Central Gastroenterology LLP Gastroenterology CurrentSince Aug 15, 2010 Accepting new patients

Locations

920 S Myrtle Ave
Ste A
Clearwater, FL 33756
Phone (727) 462-0444

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

3280 N McMullen Booth Rd
Ste 140
Clearwater, FL 33761
Phone (727) 286-6130

3180 Curlew Rd
Unit 105
Oldsmar, FL 34677
Phone (727) 772-0949

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1093872871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXECUTIVE DR STE 130",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625323",
            "telephone_number": "727-347-0005",
            "fax_number": "727-541-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S MYRTLE AVE",
            "address_2": "SUITE A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563918",
            "telephone_number": "727-462-0444",
            "fax_number": "727-462-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 N McMullen Booth Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612046",
            "country_code": "US",
            "telephone_number": "727-286-6130",
            "fax_number": "727-462-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "UMESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME68190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27355",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.