Individual provider Active NPI

Imran Iftikhar Chaudry, MD

  • Cardiovascular Disease Physician
  • Monroe, LA
National Provider Identifier
1194763870
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12477R Issued in LA
Practice address
3100 Forsythe Ave
Monroe, LA 71201-3014
Phone
(318) 699-0505
Fax
(318) 699-0506
NPI assigned
Jun 3, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12477R LA Primary

Addresses

Primary practice location

3100 Forsythe Ave
Monroe, LA 71201-3014

Mailing address

3100 Forsythe Ave
Monroe, LA 71201-3014
Phone (318) 699-0505

Other identifiers 1

IdentifierTypeStateIssuer
1542245MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000181 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9234110560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

254 Hwy 3048
Rayville, LA 71269-3624
Phone (318) 728-4181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12477RLAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Parish Hospital Service District No 1-B Current Accepting new patients
Monroe Cardiovascular Associates Cardiovascular Disease CurrentSince Aug 1, 1999 Accepting new patients
St Francis Medical Group LLC Internal Medicine Past Accepting new patients
Heart Lung and Vascular Clinic, LLC PastSince Jul 1, 2011 Accepting new patients
SFN Professional Management Cardiovascular Disease Past Accepting new patients
St. Francis Medical Center, Inc. Past Accepting new patients
St Francis Specialty Hospital,Inc Past Accepting new patients

Locations

606 E Water St
Farmerville, LA 71241
Phone (318) 368-1818

3100 Forsythe Ave
Monroe, LA 71201
Phone (318) 699-0505

3601 Pecanland Mall Dr
Monroe, LA 71203
Phone (318) 699-0505

161 Christian Dr
Rayville, LA 71269
Phone (318) 661-3030

250 Highway 3048
Rayville, LA 71269
Phone (318) 728-3308

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1194763870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013014",
            "telephone_number": "318-699-0505",
            "fax_number": "318-699-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013014",
            "telephone_number": "318-699-0505",
            "fax_number": "318-699-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDRY",
        "first_name": "IMRAN",
        "middle_name": "IFTIKHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "12477R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542245",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.