Individual provider Active NPI

Mohammed Afzal Choudhry, MD

  • Neurology Physician
  • Leesburg, FL
National Provider Identifier
1316904576
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME86954 Issued in FL
Practice address
26218 US Highway 27
Suite 105
Leesburg, FL 34748-1707
Phone
(352) 323-1758
Fax
(352) 323-1894
NPI assigned
Apr 28, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME86954 FL
Neurology Physician 2084N0400X ME86954 FL Primary

Addresses

Primary practice location

26218 US Highway 27
Suite 105
Leesburg, FL 34748-1707

Mailing address

26218 US Highway 27
Suite 105
Leesburg, FL 34748-1707
Phone (352) 323-1758

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000800 FL Practitioner - Neurology 6507845187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26218 US Hwy 27 105
Leesburg, FL 34748-1708
Phone (352) 323-1758

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86954FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Afzal Choudhry, MD, P.a Specialist CurrentSince Sep 1, 2003 Accepting new patients
Tri-Cities Community Health Past Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

26218 US Highway 27
Ste 105
Leesburg, FL 34748
Phone (352) 323-1758

Interoperability endpoints

  • Direct secure messaging: mchoudhry562421@direct.shands.ufl.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1316904576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26218 US HIGHWAY 27",
            "address_2": "SUITE 105",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347481707",
            "telephone_number": "352-323-1758",
            "fax_number": "352-323-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26218 US HIGHWAY 27",
            "address_2": "SUITE 105",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347481707",
            "telephone_number": "352-323-1758",
            "fax_number": "352-323-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "MOHAMMED",
        "middle_name": "AFZAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME86954",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME86954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.