Individual provider Active NPI

Quamrul Hasan Chowdhury, MD

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1386741007
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME92131 Issued in FL
Practice address
5707 N 22ND St
Mental Health Care Inc
Tampa, FL 33610
Phone
(813) 272-2878
Fax
(813) 272-3766
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME92131 FL Primary

Addresses

Primary practice location

5707 N 22ND St
Mental Health Care Inc
Tampa, FL 33610

Mailing address

1054 Stardust LN
Lutz, FL 33548
Phone (917) 547-4425

Other identifiers 2

IdentifierTypeStateIssuer
41030OtherFLBCBS OF FL
274790100MedicaidFL

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
I20060420000581 FL Practitioner - Psychiatry 2668481532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Behavioral Health Center, IncGroup PAC ID 9931187911, 16 clinicians

Practice addresses (Care Compare)

12512 Bruce B Downs Blvd
Tampa, FL 33612-9209
Phone (813) 977-8700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ibis Healthcare Inc CurrentSince Sep 23, 2010 Accepting new patients
Ibis Healthcare Inc CurrentSince Sep 23, 2010 Accepting new patients
Northside Behavioral Health Center, Inc. CurrentSince Mar 1, 2011 Accepting new patients

Locations

12512 Bruce B Downs Blvd
Tampa, FL 33612
Phone (813) 977-8700

2208 E Henry Ave
Tampa, FL 33610
Phone (813) 239-2882

2212 E Henry Ave
Tampa, FL 33610
Phone (813) 272-2882

5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244

Interoperability endpoints

  • Direct secure messaging: quamrul.chowdhurymd@direct.mybaycare.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1386741007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 STARDUST LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33548",
            "telephone_number": "917-547-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 N 22ND ST",
            "address_2": "MENTAL HEALTH CARE INC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33610",
            "telephone_number": "813-272-2878",
            "fax_number": "813-272-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "QUAMRUL",
        "middle_name": "HASAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME92131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "41030",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274790100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.