Individual provider Active NPI

Mohammed Andaleeb Chowdhury, M.D.

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1154674786
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD488893 Issued in PA
Practice address
3509 N Broad St
Philadelphia, PA 19140-4105
Phone
(152) 707-8484
Fax
(215) 707-3946
NPI assigned
Oct 19, 2012
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57.021722 OH
Cardiovascular Disease Physician 207RC0000X MD488893 PA Primary
Cardiovascular Disease Physician 207RC0000X 11036 SD
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 11036 SD

Addresses

Primary practice location

3509 N Broad St
Philadelphia, PA 19140-4105

Mailing address

3500 N Broad St RM 1a
Philadelphia, PA 19140-4106
Phone (215) 707-2433

Other practice location 1

3509 N Broad St
Philadelphia, PA 19140-4105
Phone (152) 707-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WA, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190802001071 SD Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6406150838 Reassigns benefits to 4 organizations
I20240116004015 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406150838 Reassigns benefits to 1 organization
I20250725002395 PA Practitioner - Cardiovascular Disease (Cardiology) 6406150838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-8484

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.021722OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Dec 6, 2023 Accepting new patients
Avera McKennan CurrentSince Sep 1, 2020 Accepting new patients
Avera Holy Family CurrentSince Dec 14, 2019 Accepting new patients
Avera Holy Family CurrentSince Dec 14, 2019 Accepting new patients
Spencer Municipal Hospital CurrentSince Mar 23, 2021 Accepting new patients
Spencer Municipal Hospital CurrentSince Mar 23, 2021 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Wagner Community Memorial Hospital Current Accepting new patients
Multicare Health System CurrentSince Dec 6, 2023 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jul 1, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Freeman Regional Health Services CurrentSince Sep 1, 2020 Accepting new patients
Avera Holy Family Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jul 1, 2025 Accepting new patients
Wagner Community Memorial Hospital CurrentSince May 14, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Wagner Community Memorial Hospital CurrentSince May 14, 2022 Accepting new patients
Freeman Regional Health Services CurrentSince Sep 1, 2020 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Avera McKennan CurrentSince Sep 1, 2020 Accepting new patients
Temple Faculty Practice Plan, Inc Past Accepting new patients

Locations

826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631

116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

804 S Walnut St
Freeman, SD 57029
Phone (605) 925-4000

4520 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-5000

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 23

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 23

Hospital & facility affiliations 8

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": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1154674786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST RM 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-707-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "152-707-8484",
            "fax_number": "215-707-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3509 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191404105",
            "country_code": "US",
            "telephone_number": "152-707-8484",
            "fax_number": "215-707-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "MOHAMMED",
        "middle_name": "ANDALEEB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57.021722",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD488893",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "11036",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "SD",
            "license": "11036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.