Individual provider Active NPI

Uzma Ahmad Chaudhry, MD

  • Family Medicine Physician
  • Jeffersonville, IN
National Provider Identifier
1689832024
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301098073 Issued in MI
Practice address
1802 E 10TH St
Jeffersonville, IN 47130-6016
Phone
(812) 288-2488
Fax
(770) 573-9513
NPI assigned
May 31, 2008
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301098073 MI Primary
General Practice Physician 208D00000X 4301098073 MI
General Practice Physician 208D00000X 01075763A IN

Addresses

Primary practice location

1802 E 10TH St
Jeffersonville, IN 47130-6016

Mailing address

2100 Market St Ste 101
Charlestown, IN 47111-9535
Phone (812) 288-2488

Other practice location 1

21540 W 11 Mile Rd
Suite 200
Southfield, MI 48076-3843
Phone (248) 352-2000

Other practice location 2

1319 Duncan Ave
Jeffersonville, IN 47130-3759
Phone (812) 283-2308

Other practice location 3

2100 Market St Ste 101
Charlestown, IN 47111-9535
Phone (812) 503-5100

Other practice location 4

1804 E 10th St
Jeffersonville, IN 47130-6016
Phone (812) 288-2488

Other identifiers 3

IdentifierTypeStateIssuer
01075763AOtherINSTATE LICENSE
201381230MedicaidIN
IN3604028OtherINMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110727000238 MI Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 0648448159 Reassigns benefits to 1 organization
I20160914000043 IN Practitioner - General Practice 0648448159 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098073MIMDFamily Medicine Physician
01075763AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zilmed LLC Family Medicine CurrentSince Nov 30, 2019 Accepting new patients
North Clark Medical Group LLC General Practice CurrentSince Feb 1, 2019 Accepting new patients
Theoria Medical CurrentSince Mar 17, 2024 Accepting new patients
Uzma Chaudhry MD, LLC Current Accepting new patients
Advanced Institute of Rehabilitation Services LLC Past Accepting new patients
Express Health PC General Practice PastSince Feb 22, 2013 Accepting new patients
Zilmed, Inc. Family Medicine PastSince Jan 1, 2015 Accepting new patients
Virginia Park Medical Services PLLC General Practice Past Accepting new patients
US Healthcare Mi, PC General Practice Past Accepting new patients
Home VP Inc Past Accepting new patients

Locations

514 16th St
Bedford, IN 47421
Phone (812) 279-2001

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 332-4437

2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100

745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221

1802 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 893-7744

1804 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 553-0810

2700 Vissing Park Rd
Jeffersonvlle, IN 47130
Phone (812) 246-9809

680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1689832024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST STE 101",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119535",
            "telephone_number": "812-288-2488",
            "fax_number": "770-573-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306016",
            "telephone_number": "812-288-2488",
            "fax_number": "770-573-9513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21540 W 11 Mile Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480763843",
            "country_code": "US",
            "telephone_number": "248-352-2000",
            "fax_number": "248-352-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1319 Duncan Ave",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303759",
            "country_code": "US",
            "telephone_number": "812-283-2308",
            "fax_number": "812-283-2309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "IN",
            "postal_code": "471119535",
            "country_code": "US",
            "telephone_number": "812-503-5100",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306016",
            "country_code": "US",
            "telephone_number": "812-288-2488",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "UZMA",
        "middle_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301098073",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301098073",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01075763A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01075763A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201381230",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IN3604028",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.