Individual provider Active NPI

Rabia Chaudry, MD

  • Family Medicine Physician
  • Canton, MI
National Provider Identifier
1306251608
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301106111 Issued in MI
Practice address
43050 Ford Rd Ste 170
Canton, MI 48187-3359
Phone
(734) 404-6168
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301106111 MI Primary

Addresses

Primary practice location

43050 Ford Rd Ste 170
Canton, MI 48187-3359

Mailing address

43050 Ford Rd Ste 170
Canton, MI 48187-3359
Phone (734) 404-6168

Other practice location 1

G3230 Beecher Rd
Suite 1
Flint, MI 48532-3604
Phone (810) 342-5656

Other practice location 2

1096 S Belsay Rd Ste C
Burton, MI 48509-1948
Phone (810) 743-3351

Other identifiers 1

IdentifierTypeStateIssuer
1306251608MedicaidMI

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312000358 MI Practitioner - Family Practice 0042521585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usman Ahmed MD PLLCGroup PAC ID 4688094337, 2 clinicians

Practice addresses (Care Compare)

43050 Ford Rd
Suite 170
Canton, MI 48187-3359
Phone (734) 404-6168

Hospital & facility affiliations

  • Trinity Health at Home Southeast Michigan Hospice, Livonia, MI, CCN 231511
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301106111MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baco Care Services LLC CurrentSince Mar 1, 2025 Accepting new patients
Usman Ahmed MD PLLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients

Locations

43050 Ford Rd
Ste 170
Canton, MI 48187
Phone (734) 404-6168

26911 Northwestern Hwy
Ste 530
Southfield, MI 48033
Phone (313) 530-5494

Interoperability endpoints

  • Direct secure messaging: rabia.chaudry.1@22381.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22381/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1306251608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43050 FORD RD STE 170",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873359",
            "telephone_number": "734-404-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43050 FORD RD STE 170",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873359",
            "telephone_number": "734-404-6168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G3230 Beecher Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323604",
            "country_code": "US",
            "telephone_number": "810-342-5656",
            "fax_number": "810-342-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1096 S Belsay Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Burton",
            "state": "MI",
            "postal_code": "485091948",
            "country_code": "US",
            "telephone_number": "810-743-3351",
            "fax_number": "810-244-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDRY",
        "first_name": "RABIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301106111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306251608",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.