Individual provider Active NPI

Shabbir Ahmed Chaudhry Inc, M.D.

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1487613865
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11254 Issued in OK
Practice address
5611 Mosteller Dr
Oklahoma City, OK 73112-4137
Phone
(405) 843-2345
Fax
(405) 843-8237
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11254 OK Primary

Addresses

Primary practice location

5611 Mosteller Dr
Oklahoma City, OK 73112-4137

Mailing address

5611 Mosteller Dr
Oklahoma City, OK 73112-4137
Phone (405) 843-2345

Other identifiers 1

IdentifierTypeStateIssuer
100041730AMedicaidOK

Other names 1

  • Dr. Shabbir Ahmed Chaudry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11254NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients

Organizations & group practices 1

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1487613865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 MOSTELLER DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124137",
            "telephone_number": "405-843-2345",
            "fax_number": "405-843-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 MOSTELLER DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124137",
            "telephone_number": "405-843-2345",
            "fax_number": "405-843-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY INC",
        "first_name": "SHABBIR",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "11254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100041730A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHABBIR",
            "last_name": "CHAUDRY",
            "middle_name": "AHMED",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.