Individual provider Active NPI

Nur S Chowdhury, M.D.

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1669696191
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6322 Issued in TX
Practice address
4060 Legacy Dr Ste 302
Frisco, TX 75034-6625
Phone
(214) 945-3621
Fax
(888) 511-6306
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L6322 TX Primary

Addresses

Primary practice location

4060 Legacy Dr Ste 302
Frisco, TX 75034-6625

Mailing address

4060 Legacy Dr Ste 302
Frisco, TX 75034-6625
Phone (214) 945-3621

Other practice location 1

2785 Rockbrook Dr Ste 103
Lewisville, TX 75067-5243
Phone (972) 219-3500

Other names 1

  • Dr. Shahan Chowdhury Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 18, 2020 through Feb 18, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6322TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nur Ventures LLC Family Medicine Past Accepting new patients
MH Health Care Services, PC Past Accepting new patients
VMD Primary Providers North Texas, PLLC Family Medicine Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1669696191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 LEGACY DR STE 302",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346625",
            "telephone_number": "214-945-3621",
            "fax_number": "888-511-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 LEGACY DR STE 302",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346625",
            "telephone_number": "214-945-3621",
            "fax_number": "888-511-6306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2785 Rockbrook Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750675243",
            "country_code": "US",
            "telephone_number": "972-219-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "NUR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHAN",
            "last_name": "CHOWDHURY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.