Individual provider Active NPI

Tim Chowdhury, MD

  • Interventional Pain Medicine Physician
  • Dublin, OH
National Provider Identifier
1154491611
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35080788 Issued in OH
Practice address
7211 Sawmill Rd
Suite a
Dublin, OH 43016-5008
Phone
(614) 326-0511
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 35080788 OH Primary
Physical Medicine & Rehabilitation Physician 208100000X 35.080788 OH

Addresses

Primary practice location

7211 Sawmill Rd
Suite a
Dublin, OH 43016-5008

Mailing address

7211 Sawmill Rd
Suite 101
Dublin, OH 43016-5008
Phone (614) 793-8817

Other practice location 1

1087 Dennison Ave
Columbus, OH 43201-3201
Phone (877) 749-7428

Other identifiers 1

IdentifierTypeStateIssuer
2333951MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040416001041 OH Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8628063963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7211 Sawmill Rd
Suite 101
Dublin, OH 43016-5009
Phone (614) 389-8882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.080788OHMDPhysical Medicine & Rehabilitation Physician
35080788OHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho-Spine Rehabilitation Center CurrentSince Feb 1, 2005 Accepting new patients
Spine Sports & Industrial Rehabilitation Inc Past Accepting new patients
BKC Pain Specialists, LLC Past Accepting new patients
Marion Pain Center, LLC Past Accepting new patients
Fairfield Medical Center Interventional Pain Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients

Locations

7211 Sawmill Rd
Ste 101
Dublin, OH 43016
Phone (614) 389-8882

1199 Delaware Ave
Ste 108
Marion, OH 43302
Phone (740) 375-0200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1154491611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 SAWMILL RD",
            "address_2": "SUITE 101",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430165008",
            "telephone_number": "614-793-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 SAWMILL RD",
            "address_2": "SUITE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430165008",
            "telephone_number": "614-326-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1087 Dennison Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432013201",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "TIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35080788",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.080788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2333951",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.