Organization Active NPI

Mustafizur Choudhury LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Warren, MI
National Provider Identifier
1558829333
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
MUSTAFIZUR CHOUDHURY LLC
Doing business as
Mustafizur Choudhury LLC
Practice address
3148 Esch Dr
Warren, MI 48091-1651
Phone
(586) 291-8255
NPI assigned
Mar 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Dr. Mustafizur Choudhury, DONPI 1073877999
Title
President
Phone
(586) 291-8255

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)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

3148 Esch Dr
Warren, MI 48091-1651

Mailing address

3148 Esch Dr
Warren, MI 48091-1651
Phone (586) 291-8255

Other names 1

  • Mustafizur Choudhury LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190403001591 MI Part B Supplier - Clinic/Group Practice 9436490398 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1558829333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 ESCH DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911651",
            "telephone_number": "586-291-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3148 ESCH DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911651",
            "telephone_number": "586-291-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAFIZUR CHOUDHURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "CHOUDHURY",
        "authorized_official_first_name": "MUSTAFIZUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-291-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mustafizur Choudhury LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mustafizur Choudhury LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.

Verify at the official NPI Registry.