Individual provider Active NPI

Khalid Chowdhury, M.D., M.B.A.

  • Facial Plastic Surgery Physician
  • Denver, CO
National Provider Identifier
1649225749
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
35707 Issued in CO
Practice address
1601 E 19TH Ave
Suite 3000
Denver, CO 80218-1216
Phone
(303) 839-5155
Fax
(303) 839-5255
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 35707 CO
Facial Plastic Surgery Physician 207YS0123X 35707 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave
Suite 3000
Denver, CO 80218-1216

Mailing address

1601 E 19TH Ave
Suite 3000
Denver, CO 80218-1216
Phone (303) 839-5155

Other identifiers 1

IdentifierTypeStateIssuer
01357078MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050914000399 CO Practitioner - Maxillofacial Surgery 1153393749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 E 19TH Ave
Suite 3000
Denver, CO 80218-1239
Phone (303) 839-5155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35707COMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khalid Chowdhury MD, PC Facial Plastic Surgery CurrentSince Feb 12, 2013 Accepting new patients
Rocky Mountain Cancer Centers, LLP PastSince Feb 12, 2013 Accepting new patients

Locations

1601 E 19th Ave
Ste 3000
Denver, CO 80218
Phone (303) 388-4876

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFCACA/Endpoint/HFCACA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1649225749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 3000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-839-5155",
            "fax_number": "303-839-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 3000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-839-5155",
            "fax_number": "303-839-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "KHALID",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CO",
            "license": "35707",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CO",
            "license": "35707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01357078",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.