Individual provider Active NPI

Alexander M Chudnovsky, MD

  • Cardiovascular Disease Physician
  • Columbia, MD
National Provider Identifier
1639147317
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D61309 Issued in MD
Practice address
10710 Charter Dr
Suite 400
Columbia, MD 21044-2858
Phone
(410) 997-7979
Fax
(410) 997-9231
NPI assigned
Mar 9, 2006
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D61309 MD Primary

Addresses

Primary practice location

10710 Charter Dr
Suite 400
Columbia, MD 21044-2858

Mailing address

10710 Charter Dr
Suite 400
Columbia, MD 21044-2858
Phone (410) 997-7979

Other identifiers 5

IdentifierTypeStateIssuer
64173101OtherMDCAREFIRST BCBS MD
P00908432OtherMDRAILROAD MEDICARE
404452500MedicaidMD
V879-0009OtherMDCAREFIRST GHMSI AND BLUE CHOICE
0061936OtherMDAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040510000182 MD Practitioner - Cardiovascular Disease (Cardiology) 1153310735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 400
Columbia, MD 21044-3276
Phone (410) 997-7979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
65.13
Promoting interoperability
98
Improvement activities
40
Cost
76.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Regional Physicians LLC Cardiovascular Disease Current Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Oct 1, 2010 Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Oct 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979

11085 Little Patuxent Pkwy
Ste 101
Columbia, MD 21044
Phone (410) 997-7979

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

Interoperability endpoints

  • Direct secure messaging: achudnovsky49156@direct.hopkinsmedicine.org

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.

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1639147317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 400",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442858",
            "telephone_number": "410-997-7979",
            "fax_number": "410-997-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 400",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442858",
            "telephone_number": "410-997-7979",
            "fax_number": "410-997-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDNOVSKY",
        "first_name": "ALEXANDER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D61309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS MD",
            "identifier": "64173101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00908432",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404452500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST GHMSI AND BLUE CHOICE",
            "identifier": "V879-0009",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0061936",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.