Individual provider Active NPI

Balaj Chaudhry, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
National Provider Identifier
1205576337
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4662 Issued in FL
Practice address
4207 59TH St W
Bradenton, FL 34209-6663
Phone
(941) 241-3701
NPI assigned
Mar 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X PO4662 FL Primary

Addresses

Primary practice location

4207 59TH St W
Bradenton, FL 34209-6663

Mailing address

4207 59TH St W
Bradenton, FL 34209-6663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250620003416 FL Practitioner - Podiatry 7113306945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

4207 59TH St W
Bradenton, FL 34209-6663
Phone (941) 792-8184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue421
Removal or shaving of skin growth158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

4207 59th St W
Bradenton, FL 34209
Phone (941) 241-3701

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: balaj.chaudhry.1@4399.direct.athenahealth.com

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1205576337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096663",
            "telephone_number": "941-241-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "BALAJ",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.