Organization Active NPI

Muhammad a Chaudhary MD PA

  • Contractor
  • Okeechobee, FL
National Provider Identifier
1376850388
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
ME0034319 Issued in FL
Legal business name
MUHAMMAD A CHAUDHARY MD PA
Practice address
206 NE 19TH Dr
Okeechobee, FL 34972-1932
Phone
(863) 763-1917
Fax
(863) 467-1142
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Dr. Muhammad A Chaudhary, M/D/NPI 1669466751
Title
Physician
Phone
(863) 763-1917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X ME0034319 FL Primary

Addresses

Primary practice location

206 NE 19TH Dr
Okeechobee, FL 34972-1932

Mailing address

206 NE 19TH Dr
Okeechobee, FL 34972-1932
Phone (863) 763-1917

Other identifiers 1

IdentifierTypeStateIssuer
038732100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000833 FL Part B Supplier - Clinic/Group Practice 8022297373 Receives reassigned benefits from 1 practitioner
Practice locations: Okeechobee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0299436Muhammad a Chaudhary MD PA206 NE 19TH Drive, Okeechobee, FL 34972Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

206 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-1917

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1376850388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721932",
            "telephone_number": "863-763-1917",
            "fax_number": "863-467-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721932",
            "telephone_number": "863-763-1917",
            "fax_number": "863-467-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD A CHAUDHARY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "863-763-1917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M/D/"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "FL",
            "license": "ME0034319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038732100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.