Active NPI
Nur S Chowdhury, M.D.
- Family Medicine Physician
- Frisco, TX
National Provider Identifier
1669696191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L6322
- 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
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 |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| L6322 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Frisco, TX
- NPI 1346756012
-
- General Practice Physician
- Lewisville, TX
- NPI 1275955478
-
- Family Medicine Physician
- Dallas, TX
- NPI 1295338358
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.