Active NPI
Moumita Choudhury, MS., CCC-A
- Audiologist
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81138
- Practice address
- 3600 Arrowhead Dr.
BLDG. 08
Las Cruces, NM 88011-5129 - Phone
- (575) 674-0593
- Fax
- (575) 674-0599
- NPI assigned
- Jan 27, 2015
- Last updated
- Dec 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 81138 | TX | Primary |
| Audiologist | 231H00000X | 5668 | NM |
Addresses
Primary practice location
3600 Arrowhead Dr.
BLDG. 08
Las Cruces, NM 88011-5129
Mailing address
3601 4TH St
# 2A300
Lubbock, TX 79430-6073
Phone (575) 674-0593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L3211 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | moumita.choudhury@direct.myteamcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3601 4TH St
2A300
Lubbock, TX 79430-6073
Phone (806) 743-5678
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5668 | NM | MD | Audiologist |
| 81138 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Audiologist | Current | Accepting new patients |
| Regents of New Mexico State University | Audiologist | Past | Accepting new patients |
Locations
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
3601 4th St
#2A300
Lubbock, TX 79430
Phone (806) 743-5678
Interoperability endpoints
- moumita.choudhury@direct.myteamcare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba TTUHSC/Anatomical Pathology
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
dba Ttuhsc - DME
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
dba TTUHSC/Speech& Hearing
- Audiologist
- Lubbock, TX
- NPI 1699724989
-
dba NMSU Hearing Center
- Audiologist
- Las Cruces, NM
- NPI 1275909871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1598155756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 4TH ST",
"address_2": "# 2A300",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794306073",
"telephone_number": "575-674-0593",
"fax_number": "575-674-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 ARROWHEAD DR.",
"address_2": "BLDG. 08",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115129",
"telephone_number": "575-674-0593",
"fax_number": "575-674-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDHURY",
"first_name": "MOUMITA",
"credential": "MS., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81138",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NM",
"license": "5668",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L3211",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "moumita.choudhury@direct.myteamcare.com",
"affiliation": "N",
"address_1": "3601 4th St",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794300002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.