Individual provider Active NPI

Khalid Mahmood Chaudhary, MD

  • Family Medicine Physician
  • Rosenberg, TX
National Provider Identifier
1750341418
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2509 Issued in TX
Practice address
1217 1St St
Rosenberg, TX 77471-3203
Phone
(281) 342-8761
Fax
(281) 232-7492
NPI assigned
Mar 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2509 TX Primary

Addresses

Primary practice location

1217 1St St
Rosenberg, TX 77471-3203

Mailing address

1217 1St St
Rosenberg, TX 77471-3203
Phone (281) 342-8761

Other identifiers 2

IdentifierTypeStateIssuer
45D0495711OtherCLIA
TPI099687801MedicaidTX

Other names 1

  • Khalid M Chaudhary Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041104000086 TX Practitioner - Family Practice 3476515164 Practice locations: Rosenberg, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1217 1St St
Rosenberg, TX 77471-3203
Phone (281) 342-8761

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2509TXMDFamily Medicine Physician

Hospital & facility affiliations 1

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750341418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 1ST ST",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713203",
            "telephone_number": "281-342-8761",
            "fax_number": "281-232-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 1ST ST",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713203",
            "telephone_number": "281-342-8761",
            "fax_number": "281-232-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "KHALID",
        "middle_name": "MAHMOOD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0495711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPI099687801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALID",
            "last_name": "CHAUDHARY",
            "middle_name": "M",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.