Babar Murtaza Choudhry, MD/OWNER
Individual provider Active NPI Geriatric Psychiatry Physician · Pottsville, PA
NPI 1164598512 · NPPES record last updated Nov 4, 2020
Key facts
- NPI
- 1164598512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Psychiatry Physician 2084P0805X
- License
- MD066893L (PA)
- Practice address
- 420 S Jackson St
Pottsville, PA 17901-3625 - Phone
- (570) 621-5500
- Fax
- (570) 621-5077
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
420 S Jackson St
Pottsville, PA 17901-3625
Hospital & facility affiliations
- Schuylkill Medical Center - South Jackson Street
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040116000360 | PA | Practitioner - Psychiatry |
7113828708 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD066893L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choudhry B.M. and Associates, LLC | Psychiatry | Current |
Accepting new patients |
| Lehigh Valley Hospital - Schuylkill | Past | Accepting new patients | |
| Lehigh Valley Hospital Schuylkill | Psychiatric Unit | Past | Accepting new patients |
Locations
420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000
700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000
Interoperability endpoints
- bchoudhr@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD066893L | PA | |
| Geriatric Psychiatry Physician | 2084P0805X | MD066893L | PA | Yes |
Addresses
Primary practice location
420 S Jackson St
Pottsville, PA 17901-3625
Mailing address
PO Box 1388
Kingston, PA 18704-0379
Phone (570) 288-8881
Other providers in Pottsville, PA
- Jeffrey Chimahosky
- Joseph Dominic Chipriano Jr.
- Chandra L Chitswara
- Erwin Jinho Choi
- Choudhry B.M. and Associates, LLC
- Nicol R Christ
- Cic Pottsville PC
- Jared Cicero
- Jennifer Noel Cinelli
- Clinical Outcomes Group, Inc.
All providers in Pottsville, PA · Geriatric Psychiatry Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.