Active NPI
Pakhi Chaudhuri, M.D.
- Pediatrics Physician
- Durango, CO
National Provider Identifier
1740289867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- CO42100
- Practice address
- 1199 Main Ave
Ste 205
Durango, CO 81301-5259 - Phone
- (970) 259-7337
- Fax
- (970) 259-7366
- NPI assigned
- Jul 20, 2005
- Last updated
- Dec 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | CO42100 | CO | Primary |
| Pediatrics Physician | 208000000X | MD00036886 | WA | |
| Pediatrics Physician | 208000000X | MD20030711 | NM |
Addresses
Primary practice location
1199 Main Ave
Ste 205
Durango, CO 81301-5259
Mailing address
1199 Main Ave
Ste 205
Durango, CO 81301-5259
Phone (970) 259-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63779030 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO42100 | CO | MD | Pediatrics Physician |
| MD20030711 | NM | MD | Pediatrics Physician |
| MD00036886 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital & Regional Medical Center 2 | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Children's Hospital
- Seattle, WA
- NPI 1083789630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1740289867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1199 MAIN AVE",
"address_2": "STE 205",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015259",
"telephone_number": "970-259-7337",
"fax_number": "970-259-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 MAIN AVE",
"address_2": "STE 205",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015259",
"telephone_number": "970-259-7337",
"fax_number": "970-259-7366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHURI",
"first_name": "PAKHI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "CO42100",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00036886",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD20030711",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "63779030",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
- Jeffrey David Chamberlain, M.D.
- Rachel K. Chaney, M. D,
- Bryan Chapman, PTA
- Chelsey Chapman, RN
- Melissa Ramona Charbonneau, PHARMD
- Brooke Hastings Cheatham, D.O.
- Kayla Cheatham, LSW
- CHI National Home Care, LLC (Hospice Mercy)
- CHI National Home Care, LLC (Home Health Mercy)
- CHI National Home Care, LLC (Hospice Mercy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.