Individual provider Active NPI

Safdar I Chaudhary, MD

  • Psychiatry Physician
  • Eagleville, PA
National Provider Identifier
1225042401
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD039373E Issued in PA
Practice address
100 Eagleville Rd
Eagleville, PA 19403-1800
Phone
(800) 255-2019
NPI assigned
Jul 27, 2006
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00022430 WA
Psychiatry Physician 2084P0800X 44238 AZ
Psychiatry Physician 2084P0800X MD039373E PA Primary

Addresses

Primary practice location

100 Eagleville Rd
Eagleville, PA 19403-1800

Mailing address

100 Eagleville Rd
Eagleville, PA 19403-1800
Phone (800) 255-2019

Other practice location 1

4526 Federal Ave
Everett, WA 98203-2132
Phone (425) 349-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ, WA3 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
I20050221000244 PA Practitioner - Psychiatry 3274585021
I20171114002181 AZ Practitioner - Psychiatry 3274585021 Reassigns benefits to 2 organizations
I20190422000536 WA Practitioner - Psychiatry 3274585021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cope Community Services IncGroup PAC ID 9537131198, 25 clinicians

Practice addresses (Care Compare)

620 N Craycroft Rd
Tucson, AZ 85711-1448
Phone 52079232931308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44238AZMDPsychiatry Physician
MD039373EPAMDPsychiatry Physician
MD00022430WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Behavioral Healthcare - Tempe, LLC Psychiatry CurrentSince Feb 23, 2018 Accepting new patients
Cope Community Services, Inc. CurrentSince Sep 6, 2023 Accepting new patients
Eagleville Hospital Psychiatry Current Accepting new patients
Cope Community Services, Inc. Current Accepting new patients
Compass Health CurrentSince Mar 25, 2019 Accepting new patients
Cope Community Services, Inc. CurrentSince Sep 6, 2023 Accepting new patients
The River Source Treatment Center Casa Grande, LLC Past Accepting new patients
Wpic Physician Practice Corp Inc Past Accepting new patients
Seclairer PastSince Jan 1, 1990 Accepting new patients
Cope Community Services, Inc. Past Accepting new patients

Locations

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

1477 W Commerce Ct
Tucson, AZ 85746
Phone 52079232931308

2435 N Castro Ave
Tucson, AZ 85705
Phone (520) 622-8030

620 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 747-6694

7020 N Antonietta Dr
Tucson, AZ 85704
Phone (520) 219-8747

100 Eagleville Rd
Eagleville, PA 19403
Phone (610) 539-6000

4526 Federal Ave
Everett, WA 98203
Phone (425) 349-8397

10710 Mukilteo Speedway
Mukilteo, WA 98275
Phone (425) 349-8888

Interoperability endpoints

  • Direct secure messaging: safdar.chaudhary.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1225042401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAGLEVILLE RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031800",
            "telephone_number": "800-255-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAGLEVILLE RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031800",
            "telephone_number": "800-255-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Federal Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032132",
            "country_code": "US",
            "telephone_number": "425-349-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "SAFDAR",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00022430",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "44238",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD039373E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

Verify at the official NPI Registry.