Individual provider Active NPI

Vikram Choudhary, C.P.O

  • Prosthetist
  • Chicago, IL
National Provider Identifier
1649507328
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
211.000222 Issued in IL
Practice address
440 N McClurg CT Apt 113
Chicago, IL 60611-4352
Phone
(219) 793-3339
NPI assigned
Nov 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 211.000222 IL Primary
Orthotist 222Z00000X 213.000389 IL

Addresses

Primary practice location

440 N McClurg CT Apt 113
Chicago, IL 60611-4352

Mailing address

440 N McClurg CT Apt 113
Chicago, IL 60611-4352
Phone (219) 793-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
213.000389ILMDOrthotist
211.000222ILMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Prosthetics & Orthotics LLC Current Accepting new patients
Quantum Prosthetics & Orthotics LLC Orthotist Current Accepting new patients
Northern Prosthetics & Orthopedic Inc Current Accepting new patients
Ace Prosthetics & Orthotics LLC PastSince Apr 11, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1649507328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N MCCLURG CT APT 113",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114352",
            "telephone_number": "219-793-3339",
            "fax_number": "312-300-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MCCLURG CT APT 113",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114352",
            "telephone_number": "219-793-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHARY",
        "first_name": "VIKRAM",
        "credential": "C.P.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211.000222",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213.000389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.