Shaukat Hussain Chowdhari, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME67887 Issued in FL

Practice address

11707 Club Dr
Tampa, FL 33612-5521

Phone

(813) 977-2222

Fax

(813) 977-4222

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Interventional Pain Management

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• University Pain Management Center Inc

  • Pain Medicine Physician
  • Tampa, FL
  • NPI 1730153396
  Medicare reassignment NPD Authorized official
• University Pain Management Center, PA

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
  • NPI 1477801777
  NPD (past) Authorized official

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1336123553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46518",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460105",
            "telephone_number": "813-977-2222",
            "fax_number": "813-977-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 CLUB DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125521",
            "telephone_number": "813-977-2222",
            "fax_number": "813-977-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHARI",
        "first_name": "SHAUKAT",
        "middle_name": "HUSSAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME67887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050069548",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "162482000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28369",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379155600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Choutka
• Kevin Chow, MD
• Tin Chow, ACUPUNCTURE
• Antonina Dijamco Chowdhari, MD
• Mariam Chowdhari, MD
• Sajeel Chowdhary, MD
• Quamrul Hasan Chowdhury, MD
• Ann Marie Chrin, MS ARNP
• Chris J. Butchart DDS PA
• Chris Pittman MD PA (Vein911)

• Pain Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.