Individual provider Active NPI

Irfan Choudhry, D.O.

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1124369855
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036144820 Issued in IL
Practice address
20201 S Crawford Ave
Detroit, MI 48278-5429
Phone
(844) 740-4445
Fax
(708) 679-2161
NPI assigned
Mar 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.144820 IL
Internal Medicine Physician 207R00000X 036144820 IL Primary
Internal Medicine Physician 207R00000X BP10050246 TX
Hospitalist Physician 208M00000X 036144820 IL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

20201 S Crawford Ave
Detroit, MI 48278-5429

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

150 W High St
Morris, IL 60450-1497
Phone (815) 942-2932

Other practice location 2

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 3

1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 801-2792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181107001154 IL Practitioner - Internal MedicinePractitioner - Hospitalist 3577860295 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Nova Southeastern College of Osteo Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush Oak Park Physicians Group Adult MedicineGroup PAC ID 3476716523, 17 clinicians

Practice addresses (Care Compare)

520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-2240

Hospital & facility affiliations

  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.144820ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pekin Prohealth Inc Family Medicine CurrentSince Feb 3, 2020 Accepting new patients
Proctor Health Systems Family Medicine CurrentSince Feb 3, 2020 Accepting new patients
Kane Physician Services, P.C. Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Feb 3, 2020 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Dec 1, 2019 Accepting new patients
Morris Hospital CurrentSince Aug 3, 2020 Accepting new patients
Proctor Health Systems Family Medicine CurrentSince Feb 3, 2020 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Dec 1, 2019 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Feb 3, 2020 Accepting new patients
Southwest Physicians Associates, S. C. Family Medicine CurrentSince Sep 15, 2018 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Aug 3, 2020 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Current Accepting new patients
Rush University Medical Group Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Rush Oak Park Physicians Group Adult Medicine Internal Medicine CurrentSince Jun 5, 2023 Accepting new patients

Locations

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

75 Remittance Dr
Dept 1620
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Chicago, IL 60675

75 Remittance Dr
Dept 1611
Chicago, IL 60675

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

2955 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-0022

150 W High St
Morris, IL 60450
Phone (815) 942-2129

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

610 S Maple Ave
Ste 4600
Oak Park, IL 60304
Phone (708) 660-2240

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1124369855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 S CRAWFORD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482785429",
            "telephone_number": "844-740-4445",
            "fax_number": "708-679-2161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W High St",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501497",
            "country_code": "US",
            "telephone_number": "815-942-2932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605061449",
            "country_code": "US",
            "telephone_number": "630-801-2792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "IRFAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.144820",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036144820",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10050246",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036144820",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.