Individual provider Active NPI

Sara Chowdhury

  • Psychiatry Physician
  • Great Falls, VA
National Provider Identifier
1194229682
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A173832 Issued in CA
Practice address
9912A Georgetown Pike Ste 203
Great Falls, VA 22066-2843
Phone
(215) 307-6419
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101275103 VA
Psychiatry Physician 2084P0800X 29440 WV
Psychiatry Physician 2084P0800X MD500002465 DC
Psychiatry Physician 2084P0800X D0099554 MD
Psychiatry Physician 2084P0800X A173832 CA Primary

Addresses

Primary practice location

9912A Georgetown Pike Ste 203
Great Falls, VA 22066-2843

Mailing address

9912A Georgetown Pike Ste 203
Great Falls, VA 22066-2843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210202002344 WV Practitioner - Psychiatry 2860743283
I20220222002524 CA Practitioner - Psychiatry 2860743283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
West Virginia University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Momentum for HealthGroup PAC ID 2769377217, 41 clinicians

Practice addresses (Care Compare)

2001 The Alameda
San Jose, CA 95126-1136
Phone (408) 938-6750

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173832CAMDPsychiatry Physician
MD500002465DCMDPsychiatry Physician
D0099554MDMDPsychiatry Physician
0101275103VAMDPsychiatry Physician
29440WVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum for Mental Health - Discovery Center CurrentSince Jan 3, 2022 Accepting new patients
Highland-Clarksburg Hospital CurrentSince Oct 9, 2020 Accepting new patients
Momentum for Health Current Accepting new patients
Momentum for Health CurrentSince Jan 3, 2022 Accepting new patients

Locations

438 N White Rd
San Jose, CA 95127
Phone (408) 254-6828

2001 The Alameda
San Jose, CA 95126
Phone (408) 938-6750

1922 The Alameda
Ste 316
San Jose, CA 95126
Phone (408) 637-0341

3 Hospital Plz
Clarksburg, WV 26301
Phone (304) 621-2121

Organizations & group practices 4

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1194229682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912A GEORGETOWN PIKE STE 203",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912A GEORGETOWN PIKE STE 203",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662843",
            "telephone_number": "215-307-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101275103",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "29440",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD500002465",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0099554",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A173832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

Verify at the official NPI Registry.