Active NPI
Asif H Choudhury, MD
- Gastroenterology Physician
- Fort Myers, FL
National Provider Identifier
1669455168
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Jan 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME80362
- Practice address
- 14131 Metropolis Ave
Suite 101
Fort Myers, FL 33912-4455 - Phone
- (239) 415-2273
- Fax
- (239) 415-2280
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME80362 | FL | Primary |
Addresses
Primary practice location
14131 Metropolis Ave
Suite 101
Fort Myers, FL 33912-4455
Mailing address
14131 Metropolis Ave
Suite 101
Fort Myers, FL 33912-4455
Phone (239) 415-2273
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1669455168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14131 METROPOLIS AVE",
"address_2": "SUITE 101",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124455",
"telephone_number": "239-415-2273",
"fax_number": "239-415-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14131 METROPOLIS AVE",
"address_2": "SUITE 101",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124455",
"telephone_number": "239-415-2273",
"fax_number": "239-415-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDHURY",
"first_name": "ASIF",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME80362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.