Individual provider Active NPI

Mohammad K Chowdhury, M.D.

  • Psychiatry Physician
  • Raymore, MO
National Provider Identifier
1639335607
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2012003228 Issued in MO
Practice address
501 S Sunset LN
Raymore, MO 64083-9235
Phone
(888) 403-1071
NPI assigned
Jul 30, 2008
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2012003228 MO Primary

Addresses

Primary practice location

501 S Sunset LN
Raymore, MO 64083-9235

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other practice location 1

17571 N Dam Access Rd
Warsaw, MO 65355-6396
Phone (888) 403-1071

Other practice location 2

1780 Old Highway 50 E Ste 102
Union, MO 63084-3397
Phone (888) 403-1071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20120816000901 MO Practitioner - Psychiatry 5395991707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

1010 Remington PLZ
Raymore, MO 64083-8640
Phone (888) 403-1071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Clinic, Inc Current Accepting new patients
Compass Health, Inc CurrentSince Jul 1, 2012 Accepting new patients
Compass Health, Inc CurrentSince Jul 1, 2012 Accepting new patients
Regional Health Care Clinic, Inc CurrentSince Jun 1, 2018 Accepting new patients
Regional Health Care Clinic Inc Current Accepting new patients
Regional Health Care Clinic, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Regional Health Care Clinic, Inc CurrentSince Jun 1, 2018 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

227 Metro Dr
Jefferson Cty, MO 65109
Phone (573) 634-3000

1278 W US Highway 40
Odessa, MO 64076
Phone (816) 633-5921

1010 Remington Plz
Raymore, MO 64083
Phone (816) 318-4430

501 N Sunset Ln
Raymore, MO 64083
Phone (448) 538-9378

821 Westwood Dr
Sedalia, MO 65301

1780 Old Highway 50 E
Ste 102
Union, MO 63084
Phone (636) 583-1611

1780 Old Highway 50 E
Ste 111
Union, MO 63084
Phone (636) 584-0305

1109 W Clay Rd
Versailles, MO 65084
Phone (573) 378-2349

17571 N Dam Access Rd
Warsaw, MO 65355
Phone (660) 428-1280

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1639335607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SUNSET LN",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839235",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17571 N Dam Access Rd",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "MO",
            "postal_code": "653556396",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1780 Old Highway 50 E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "MO",
            "postal_code": "630843397",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "MOHAMMAD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2012003228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.