Individual provider Active NPI

Muhammad Q. Choudry, MD

  • Internal Medicine Physician
  • Olympia Fields, IL
National Provider Identifier
1720074701
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036089885 Issued in IL
Practice address
4001 Vollmer Rd
Olympia Fields, IL 60461-3168
Phone
(708) 481-8883
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01058413A IN
Internal Medicine Physician 207R00000X 036089885 IL Primary
Emergency Medicine Physician 207P00000X 01058413A IN
Emergency Medicine Physician 207P00000X 036089885 IL

Addresses

Primary practice location

4001 Vollmer Rd
Olympia Fields, IL 60461-3168

Mailing address

29373 Network PL
Chicago, IL 60673-9201
Phone (847) 390-5900

Other identifiers 1

IdentifierTypeStateIssuer
F400108382OtherILMEDICARE PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mchoudry378208@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, 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
I20040421001207 IL Practitioner - Internal MedicinePractitioner - Emergency Medicine 3375539810 Reassigns benefits to 5 organizations
I20110906000519 IN Practitioner - Internal MedicinePractitioner - Emergency Medicine 3375539810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

Hospital & facility affiliations

  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epss Peoria LLC Emergency Medicine CurrentSince Sep 15, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 1, 2014 Accepting new patients
Pic Indiana PC CurrentSince Feb 5, 2016 Accepting new patients
Epss LLC - Central Series Emergency Medicine CurrentSince Sep 15, 2022 Accepting new patients
Epss, LLC- Metro Series Emergency Medicine CurrentSince Sep 15, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 1, 2014 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Feb 1, 2016 Accepting new patients
Galesburg Clinic PC Past Accepting new patients
Suburban Emergency Physicians Group, SC Emergency Medicine Past Accepting new patients
Excellent Health Care Services, Inc. Past Accepting new patients

Locations

391 S Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 226-1006

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

29373 Network Pl
Chicago, IL 60673

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

4001 Vollmer Rd
Olympia Flds, IL 60461
Phone (708) 481-8883

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

18210 La Grange Rd
Ste 110
Tinley Park, IL 60487
Phone (708) 428-2500

18210 La Grange Rd
Ste 1
Tinley Park, IL 60487
Phone (708) 428-2500

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1720074701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606739201",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 VOLLMER RD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604613168",
            "telephone_number": "708-481-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDRY",
        "first_name": "MUHAMMAD",
        "middle_name": "Q.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01058413A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036089885",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01058413A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036089885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400108382",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mchoudry378208@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4001 Vollmer Rd",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604613168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4001 Vollmer Rd",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604613168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.