Individual provider Active NPI

Zahida Parveen Kaukab, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1679557599
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35041903 Issued in OH
Practice address
441 Vine St
#1038
Cincinnati, OH 45202-2806
Phone
(513) 621-3360
Fax
(513) 621-6237
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35041903 OH Primary

Addresses

Primary practice location

441 Vine St
#1038
Cincinnati, OH 45202-2806

Mailing address

441 Vine St
#1038
Cincinnati, OH 45202-2806
Phone (513) 621-3360

Other identifiers 1

IdentifierTypeStateIssuer
0366732MedicaidOH

Other names 1

  • Zahida Parveen Chaudhry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060330000408 OH Practitioner - Internal Medicine 3476561507 Practice locations: Cincinnati, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35041903OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Balko and Associates Inc PastSince Jan 1, 2000 Accepting new patients

Organizations & group practices 1

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1679557599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 VINE ST",
            "address_2": "#1038",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452022806",
            "telephone_number": "513-621-3360",
            "fax_number": "513-621-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 VINE ST",
            "address_2": "#1038",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452022806",
            "telephone_number": "513-621-3360",
            "fax_number": "513-621-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUKAB",
        "first_name": "ZAHIDA",
        "middle_name": "PARVEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35041903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0366732",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAHIDA",
            "last_name": "CHAUDHRY",
            "middle_name": "PARVEEN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.