Individual provider Active NPI

Adil M Choudhary, M.D.

  • Gastroenterology Physician
  • Burleson, TX
National Provider Identifier
1497720726
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M6569 Issued in TX
Practice address
11803 South Fwy Ste 105
Burleson, TX 76028-7028
Phone
(817) 551-7332
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 99-178 NM
Specialist 174400000X M6569 TX
Gastroenterology Physician 207RG0100X M6569 TX Primary

Addresses

Primary practice location

11803 South Fwy Ste 105
Burleson, TX 76028-7028

Mailing address

PO Box 35197
Fort Worth, TX 76162-5197
Phone (817) 551-7332

Other identifiers 1

IdentifierTypeStateIssuer
1967812MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081022000292 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 8224196159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11803 S Fwy
Suite 105
Burleson, TX 76028-7028
Phone (817) 551-7332

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy181
Upper gastrointestinal (GI) endoscopy for acid reflux91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99-178NMMDSpecialist
M6569TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adil M Choudhary, MD, PA Gastroenterology CurrentSince Jul 14, 2017 Accepting new patients

Locations

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

11803 South Fwy
Ste 315
Burleson, TX 76028
Phone (817) 551-7332

11803 South Fwy
Ste 105
Burleson, TX 76028
Phone (817) 551-7332

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.

Hospital & facility affiliations 3

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1497720726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35197",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761625197",
            "telephone_number": "817-551-7332",
            "fax_number": "817-551-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FWY STE 105",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287028",
            "telephone_number": "817-551-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHARY",
        "first_name": "ADIL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "99-178",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M6569",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M6569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1967812",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.