Individual provider Active NPI

Urmila Chaudhry, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1427083278
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-064725 Issued in IL
Practice address
1560 N Sandburg Ter
Unit 3002
Chicago, IL 60610-1351
Phone
(312) 497-0212
Fax
(312) 664-8531
NPI assigned
Jul 11, 2006
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-064725 IL Primary

Addresses

Primary practice location

1560 N Sandburg Ter
Unit 3002
Chicago, IL 60610-1351

Mailing address

1560 N. Sandburg Ter
Unit 3002
Chicago, IL 60610-7727
Phone (312) 497-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150618002728 MT Practitioner - Pediatric Medicine 0345258729 Reassigns benefits to 1 organization
I20171010001420 ND Practitioner - Pediatric MedicinePractitioner - Other (Physician) 0345258729 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-064725ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck CurrentSince Sep 1, 2017 Accepting new patients
Benefis Hospitals Inc CurrentSince May 1, 2015 Accepting new patients
Sanford Bismarck CurrentSince Sep 1, 2017 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

Interoperability endpoints

  • Direct secure messaging: uchaudhry37672@direct.slhs.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1427083278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N. SANDBURG TER",
            "address_2": "UNIT 3002",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107727",
            "telephone_number": "312-497-0212",
            "fax_number": "312-664-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N SANDBURG TER",
            "address_2": "UNIT 3002",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101351",
            "telephone_number": "312-497-0212",
            "fax_number": "312-664-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "URMILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-064725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.