Ondrej Chudoba, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036081492 Issued in IL

Practice address

11317 Smith Dr
Suite a
Huntley, IL 60142-9602

Phone

(630) 415-3087

Fax

(708) 488-1050

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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.

• Kalamazoo County Community Mental Health Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kalamazoo, MI
  • NPI 1710066253

  MI

  Medicare reassignment Care Compare group NPD
• Ondrej Chudoba, M.D., S.C.

  • Psychiatry Physician
  • Huntley, IL
  • NPI 1154498533

  Psychiatry

  NPD (past) Authorized official
• Kalamazoo County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
  • NPI 1477225506
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bronson Methodist Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1831116441

  Hospital

  Care Compare affiliation

Specialty

Psychiatry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kalamazoo County Community Mental Health Authority 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

Medicare fee-for-service enrollment

Enrolled in MI

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285724906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11317 SMITH DR",
            "address_2": "SUITE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429602",
            "telephone_number": "630-415-3087",
            "fax_number": "708-488-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11317 SMITH DR",
            "address_2": "SUITE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429602",
            "telephone_number": "630-415-3087",
            "fax_number": "708-488-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDOBA",
        "first_name": "ONDREJ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036081492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081492",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "162496",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Firaz Chaudhry
• Kendra Kay Chesney, M.ED
• Chiro One Wellness Center of Huntley LLC
• Choice Hearing Solutions Inc
• Jinger Christal, RD
• Clarity Eyecare Services, LLC
• Julie C Clemens, APRN, CNP
• Cognitive Care Counseling, PLLC
• Stuart Cohen, MD
• Jenny Conway, LCSW

• All providers in Huntley, IL
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.