Individual provider Active NPI

Rabia Quddus Chaudhry, M.D.

  • Allergy & Immunology Physician
  • Boca Raton, FL
National Provider Identifier
1710281159
Registry record updated Aug 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME123352 Issued in FL
Practice address
500 NE Spanish River Blvd Ste 28a
Boca Raton, FL 33431
Phone
(561) 855-1999
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25MA08926500 NJ
Pediatrics Physician 208000000X 25MA08926500 NJ
Allergy & Immunology Physician 207K00000X ME123352 FL Primary

Addresses

Primary practice location

500 NE Spanish River Blvd Ste 28a
Boca Raton, FL 33431

Mailing address

500 NE Spanish River Blvd Ste 28a
Boca Raton, FL 33431-4517
Phone (561) 855-1999

Other identifiers 1

IdentifierTypeStateIssuer
019792000MedicaidFL

Other names 1

  • Rabia Begum Quddus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190517000917 FL Practitioner - Allergy/Immunology 4284878364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12977 Southern Blvd
Loxahatchee, FL 33470-9255
Phone (561) 855-1999

12977 Southern Blvd
Suite 200
Loxahatchee, FL 33470-9225

13005 Southern Blvd
Loxahatchee, FL 33470-9253

13005 Southern Blvd
Suite 214
Loxahatchee, FL 33470-9272
Phone (561) 855-1999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123352FLMDAllergy & Immunology Physician
25MA08926500NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Chaudhry PLLC Allergy & Immunology CurrentSince Oct 1, 2018 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 212
Boca Raton, FL 33428
Phone (561) 482-7468

500 NE Spanish River Blvd
Ste 28A
Boca Raton, FL 33431
Phone (561) 855-1999

12977 Southern Blvd
Ste 200
Loxahatchee, FL 33470
Phone (561) 747-1987

201 NW 82nd Ave
Ste 102
Plantation, FL 33324
Phone (954) 384-2555

13005 Southern Blvd
Ste 214
Wellington, FL 33470
Phone (561) 753-7571

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535155200000",
    "number": "1710281159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE SPANISH RIVER BLVD STE 28A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314517",
            "telephone_number": "561-855-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE SPANISH RIVER BLVD STE 28A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-855-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "RABIA",
        "middle_name": "QUDDUS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2018-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA08926500",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08926500",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME123352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019792000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RABIA",
            "last_name": "QUDDUS",
            "middle_name": "BEGUM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.