Individual provider Active NPI

Shahrukh Chaudhary, M.D.

  • Obstetrics Physician
  • Poughkeepsie, NY
National Provider Identifier
1457778300
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
293728 Issued in NY
Practice address
2515 South Rd
Poughkeepsie, NY 12601-5473
Phone
(845) 471-3111
NPI assigned
Mar 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 293728 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2515 South Rd
Poughkeepsie, NY 12601-5473

Mailing address

2515 South Rd
Poughkeepsie, NY 12601-5473
Phone (845) 471-3111

Other practice location 1

22 S. Greene St.
UMMC OB/Gyn,
Baltimore, MD 21201
Phone (410) 328-5959

Other practice location 2

19 Bradhurst Ave Ste 2700S
Hawthorne, NY 10532-2140
Phone (914) 493-2250

Other identifiers 1

IdentifierTypeStateIssuer
293728-1OtherNYNEW YORK STATE MEDICAL LICENSE

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
I20180604000222 NY Practitioner - Obstetrics/Gynecology 3971801234 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293728NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 18, 2023 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Sep 8, 2025 Accepting new patients
Montefiore Medical Center CurrentSince May 11, 2018 Accepting new patients
Montefiore Medical Center CurrentSince May 11, 2018 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince May 1, 2021 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 18, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 1, 2021 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Sep 8, 2025 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

111 E 210th St
Bronx, NY 10467

480 Bedford Rd
Bldg C
Chappaqua, NY 10514
Phone (914) 559-5060

19 Bradhurst Ave
Ste 2700S
Hawthorne, NY 10532
Phone (914) 493-2250

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

2515 South Rd
Poughkeepsie, NY 12601
Phone (845) 471-3111

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: shahrukh.chaudharymd.p1@direct.westchesterhealth.nextgenshare.com
  • Direct secure messaging: schaudhary322500@northwell.direct-ci.com

Organizations & group practices 9

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1457778300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 SOUTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015473",
            "telephone_number": "845-471-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 SOUTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015473",
            "telephone_number": "845-471-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S. Greene St.",
            "address_2": "UMMC OB/Gyn,",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-5959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Bradhurst Ave Ste 2700S",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "105322140",
            "country_code": "US",
            "telephone_number": "914-493-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "SHAHRUKH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "293728",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE MEDICAL LICENSE",
            "identifier": "293728-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.