Individual provider Active NPI

Amara Sania Chudhary, M.D.

  • Psychiatry Physician
  • Anderson, SC
National Provider Identifier
1326272279
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35553 Issued in SC
Practice address
400 N Fant St
Suite D
Anderson, SC 29621-5720
Phone
(864) 226-1166
Fax
(864) 226-5647
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0116021116 VA
Psychiatry Physician 2084P0800X 35553 SC Primary

Addresses

Primary practice location

400 N Fant St
Suite D
Anderson, SC 29621-5720

Mailing address

400 N Fant St
Suite D
Anderson, SC 29621-5720
Phone (864) 226-1166

Other identifiers 1

IdentifierTypeStateIssuer
035535MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170619001803 TX Practitioner - Psychiatry 6800038720 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35553SCMDPsychiatry Physician
0116021116VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry CurrentSince May 1, 2017 Accepting new patients
Denton County MHMR Center Psychiatry CurrentSince Sep 22, 2017 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince May 1, 2018 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Aug 1, 2017 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry CurrentSince May 1, 2017 Accepting new patients
Camino Real Community MHMR Center CurrentSince Nov 3, 2018 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatry CurrentSince May 1, 2018 Accepting new patients
Burke Center Psychiatry CurrentSince Jun 1, 2017 Accepting new patients
Denton County MHMR Center CurrentSince Sep 22, 2017 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

6600 E Ben White Blvd
Austin, TX 78741
Phone (512) 804-3740

2519 Scripture St
Denton, TX 76201
Phone (940) 381-5000

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1326272279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N FANT ST",
            "address_2": "SUITE D",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215720",
            "telephone_number": "864-226-1166",
            "fax_number": "864-226-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N FANT ST",
            "address_2": "SUITE D",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215720",
            "telephone_number": "864-226-1166",
            "fax_number": "864-226-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDHARY",
        "first_name": "AMARA",
        "middle_name": "SANIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0116021116",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "35553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035535",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.