Samina Choudry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

203922 Issued in NY

Practice address

2834 RT. 17M
Mid-Hudson Forensic Psychiatric Center,
New Hampton, NY 10958-0158

Phone

(845) 283-3847

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Group practices

New York Medical Physician Associates PCGroup PAC ID 6709226350, 208 clinicians

Crystal Run Healthcare Physicians LLPGroup PAC ID 6901792696, 366 clinicians

State of New York Comptrollers OfficeGroup PAC ID 0840101770, 171 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205
• Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schoudry142218@direct.optum.com

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.

• Crystal Run Healthcare Physicians LLP

  • General Practice Physician
  • Middletown, NY
  • NPI 1952376410

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• New York Medical Physician Associates PC

  • Hospitalist Physician
  • Poughkeepsie, NY
  • NPI 1578316501
  Medicare reassignment Care Compare group
• State of New York Comptrollers Office

  • Rehabilitation Hospital Unit
  • West Haverstraw, NY
  • NPI 1235142472
  Medicare reassignment Care Compare group
• Crystal Run Healthcare Physicians LLP

  • Durable Medical Equipment & Medical Supplies
  • Monroe, NY
  • NPI 1558857425
  NPD
• New York Medical Physician Associates PC

  • Hospitalist Physician
  • Margaretville, NY
  • NPI 1528869203
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital of Suffern

  • General Acute Care Hospital
  • Suffern, NY
  • NPI 1346213469
  Care Compare affiliation
• St. Anthony Community Hospital

  • General Acute Care Hospital
  • Warwick, NY
  • NPI 1598755324
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1720029770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 RT. 17M",
            "address_2": "MID-HUDSON FORENSIC PSYCHIATRIC CENTER,",
            "city": "NEW HAMPTON",
            "state": "NY",
            "postal_code": "109580158",
            "telephone_number": "845-283-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 RT. 17M",
            "address_2": "MID-HUDSON FORENSIC PSYCHIATRIC CENTER,",
            "city": "NEW HAMPTON",
            "state": "NY",
            "postal_code": "109580158",
            "telephone_number": "845-283-3847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Crystal Run Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109414028",
            "country_code": "US",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDRY",
        "first_name": "SAMINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "203922",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01689821",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "SC03384N20",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samina.choudrymd.p1@direct.crystalrun.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "155 Crystal Run Rd",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109414028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruth Burgess, BSN, RN
• Alejandro Caltenco
• Jenny Casimir
• Lydia Casseus, RN
• Chinchu Cherian
• Gary Ciuffetelli, M.D.
• Anceta Clahar-Hamilton
• Esther Elaine Clark, LPN
• Lorner Patricia Codner
• Gwendolyn Cody, MD

• Internal Medicine Physician in New Hampton, NY
• Providers in New Hampton, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.