Active NPI
Imtiaz H Chowdhry, M.D.
- Specialist
- Columbia, MD
National Provider Identifier
1699741439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0028921
- Practice address
- 10792 Hickory Ridge Rd
Columbia, MD 21044-3646 - Phone
- (410) 964-3611
- Fax
- (410) 992-4669
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | D0028921 | MD | Primary |
Addresses
Primary practice location
10792 Hickory Ridge Rd
Columbia, MD 21044-3646
Mailing address
10792 Hickory Ridge Rd
Columbia, MD 21044-3646
Phone (410) 964-3611
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24118 | Other | MD | MAMSI |
| 02311400 | Medicaid | MD | |
| 525085 | Other | MD | AETNA |
| 8876 | Other | MD | FED BS |
| 306870-01 | Other | MD | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0028921 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Padder Health Services, LLC | Current | Accepting new patients | |
| Padder Health Services, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
8850 Columbia 100 Pkwy
Ste 308
Columbia, MD 21045
Phone (301) 560-4747
10792 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 600-3737
7350 Van Dusen Rd
Ste 130
Laurel, MD 20707
Phone (301) 498-8880
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFEBAA
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.
-
- Internal Medicine Physician
- Laurel, MD
- NPI 1447426895
-
- Family Medicine Physician
- Columbia, MD
- NPI 1073329595
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1699741439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10792 HICKORY RIDGE RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443646",
"telephone_number": "410-964-3611",
"fax_number": "410-992-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10792 HICKORY RIDGE RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443646",
"telephone_number": "410-964-3611",
"fax_number": "410-992-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOWDHRY",
"first_name": "IMTIAZ",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0028921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "24118",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02311400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "525085",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED BS",
"identifier": "8876",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "306870-01",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.