Active NPI
Shahin A Chowdhury, DO
- Medical Oncology Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 070866
- Practice address
- 600 Celebrate Life Pkwy
Newnan, GA 30265-8001 - Phone
- (918) 407-2575
- NPI assigned
- Jun 28, 2006
- Last updated
- Jun 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101015568 | MI | |
| Medical Oncology Physician | 207RX0202X | 5013 | OK | |
| Internal Medicine Physician | 207R00000X | M3995 | TX | |
| Medical Oncology Physician | 207RX0202X | 070866 | GA | Primary |
Addresses
Primary practice location
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Mailing address
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (918) 407-2575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070866 | Other | GA | GEORGIA MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ctcasermc@ctcaallscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.74 of 100
- Quality
- 63.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015568 | MI | MD | Internal Medicine Physician |
| M3995 | TX | MD | Internal Medicine Physician |
| 070866 | GA | MD | Medical Oncology Physician |
| 5013 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
Locations
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
62742 Collections Ctr Dr
Chicago, IL 60693
Interoperability endpoints
- schowdhury147747@cityofhope.direct-ci.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Peachtree City, GA
- NPI 1730119538
-
dba City of Hope Cancer Center Atlanta
- General Acute Care Hospital
- Newnan, GA
- NPI 1235417288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1225065766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CELEBRATE LIFE PKWY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658001",
"telephone_number": "918-407-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CELEBRATE LIFE PKWY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658001",
"telephone_number": "918-407-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOWDHURY",
"first_name": "SHAHIN",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101015568",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "OK",
"license": "5013",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M3995",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "GA",
"license": "070866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA MEDICAL LICENSE",
"identifier": "070866",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ctcasermc@ctcaallscriptsdirect.net",
"affiliation": "N",
"address_1": "600 Celebrate Life Pkwy",
"city": "Newnan",
"state": "GA",
"country_code": "US",
"postal_code": "302658001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.