Individual provider Active NPI

Fatima Iftikhar Chouhdry, M.D.

  • Diagnostic Radiology Physician
  • Mobile, AL
National Provider Identifier
1457694663
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
293056 Issued in NY
Practice address
2451 Fillingim St
MSTN 315
Mobile, AL 36617-2238
Phone
(251) 471-7866
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 293056 NY Primary

Addresses

Primary practice location

2451 Fillingim St
MSTN 315
Mobile, AL 36617-2238

Mailing address

1 Gustave Levy Place
New York, NY 10029
Phone (845) 807-3638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190516001562 NY Practitioner - Diagnostic Radiology 6709122880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

10 Union SQ E
New York, NY 10003-3314
Phone (212) 241-8395

100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-6426

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

1470 Madison Ave
New York, NY 10029-6542
Phone (212) 241-8426

16 W 25TH St
New York, NY 10019-3584
Phone (800) 627-4470

17 E 102ND St
New York, NY 10029-5204
Phone (212) 241-8395

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4390

2520 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4230

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

325 W 15TH St
New York, NY 10011-5903
Phone (212) 604-6009

3712 82ND St
Jackson Heights, NY 11372-7028
Phone (718) 879-1600

425 W 59TH St
New York, NY 10019-8022
Phone (212) 241-8333

5 E 98TH St
New York, NY 10029-6501

787 11TH Ave
New York, NY 10019-3584
Phone (800) 627-4470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293056NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Fpa Hospital Based CurrentSince Jun 1, 2019 Accepting new patients
Fpa Hospital Based Current Accepting new patients
University of South Alabama, Dept of Radiology Past Accepting new patients

Locations

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1457694663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE LEVY PLACE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "845-807-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "MSTN 315",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUHDRY",
        "first_name": "FATIMA",
        "middle_name": "IFTIKHAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "293056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.