Individual provider Active NPI

Satish K Choudhary, MD

  • Cardiovascular Disease Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1669429841
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A044578 Issued in CA
Practice address
7974 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730-3052
Phone
(909) 476-6743
Fax
(909) 581-0948
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A044578 CA
Cardiovascular Disease Physician 207RC0000X A044578 CA Primary

Addresses

Primary practice location

7974 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730-3052

Mailing address

PO Box 8000
La Verne, CA 91750-8000
Phone (909) 476-6743

Other practice location 1

160 E Artesia St
Suite 255
Pomona, CA 91767-2900
Phone (909) 620-0900

Other identifiers 3

IdentifierTypeStateIssuer
00A445780OtherCABLUESHIELD OF CALIFORNIA
060025151OtherCARAIL ROAD MEDICARE
00A445781MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090507000118 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 4486702156 Practice locations: Upland, CA; San Dimas, CA; Rancho Cucamonga, CA; Ontario, CA; Chino, CA; Montclair, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 N Monterey Ave
Ontario, CA 91764-3318
Phone (909) 391-0333

7974 Haven Ave
Suite 200
Rancho Cucamonga, CA 91730-3052
Phone (909) 620-0900

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A044578CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Satish Choudhary M.D. Cardiovascular Disease PastSince Jan 1, 1990 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Chandrahas Agarwal M.D. Inc. Cardiovascular Disease PastSince Apr 1, 2000 Accepting new patients

Organizations & group practices 3

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 1

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669429841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917508000",
            "telephone_number": "909-476-6743",
            "fax_number": "909-581-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7974 HAVEN AVE",
            "address_2": "STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303052",
            "telephone_number": "909-476-6743",
            "fax_number": "909-581-0948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Artesia St",
            "address_2": "SUITE 255",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672900",
            "country_code": "US",
            "telephone_number": "909-620-0900",
            "fax_number": "909-620-1395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDHARY",
        "first_name": "SATISH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A044578",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A044578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF CALIFORNIA",
            "identifier": "00A445780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "060025151",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A445781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.