Chowdhury MD PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301078654 Issued in MI

Legal business name

CHOWDHURY MD PLLC

Practice address

8795 Pine Ridge Dr
Ste B
Cadillac, MI 49601-9777

Phone

(231) 779-9960

Fax

(231) 779-8945

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shoaib A Chowdhury, MDNPI 1063438018

Title

MD

Phone

(231) 779-9960

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shoaib Ahmed Chowdhury, MD

  • Nephrology Physician
  • Cadillac, MI
  • NPI 1063438018
  Medicare reassignment Care Compare group NPD Authorized official
• Arshad Ali, MD

  • Nephrology Physician
  • Cadillac, MI
  • NPI 1508178526
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1518104124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8795 PINE RIDGE DR",
            "address_2": "STE B",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019777",
            "telephone_number": "231-779-9960",
            "fax_number": "231-779-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8795 PINE RIDGE DR",
            "address_2": "STE B",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019777",
            "telephone_number": "231-779-9960",
            "fax_number": "231-779-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOWDHURY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "CHOWDHURY",
        "authorized_official_first_name": "SHOAIB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "231-779-9960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301078654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1108300652",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433661610",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "110H310810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaely Nicole Cheramie, PSY.D.
• Chiropractic Health Advantage PLC
• Dennis K. Chitwood, LPC, LLP
• Karen Marie Chitwood, LMSW
• Paula Chouinard-Rinal, LMSW
• Shoaib Ahmed Chowdhury, MD
• Julie Churchill
• Courtney L Cieslik-Shann
• Clark Counseling Services PLLC
• Gilbert Clark

• Nephrology Physician in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.