Active NPI
Rajendra S Chouhan MD PA
- Urology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- E0158
- Legal business name
- RAJENDRA S CHOUHAN MD PA
- Practice address
- 1115 Pennsylvania Ave
Suite a
Fort Worth, TX 76104-2153 - Phone
- (817) 335-7803
- NPI assigned
- Jul 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rajendra S Chouhan, M.D.
- Title
- Owner
- Phone
- (817) 335-7803
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | E0158 | TX | Primary |
Addresses
Primary practice location
1115 Pennsylvania Ave
Suite a
Fort Worth, TX 76104-2153
Mailing address
1115 Pennsylvania Ave
Suite-a
Fort Worth, TX 76104-2153
Phone (817) 335-7803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
615 Matlock Centre Cir
Arlington, TX 76015
Phone (817) 335-7803
1115 Pennsylvania Ave
Fort Worth, TX 76104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Fort Worth, TX
- NPI 1033262605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1528370210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 PENNSYLVANIA AVE",
"address_2": "SUITE-A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042153",
"telephone_number": "817-335-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 PENNSYLVANIA AVE",
"address_2": "SUITE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042153",
"telephone_number": "817-335-7803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAJENDRA S CHOUHAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-09",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "CHOUHAN",
"authorized_official_first_name": "RAJENDRA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-335-7803",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "TX",
"license": "E0158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.