Individual provider Active NPI

Fatima S Chaudhry, MD

  • Hospitalist Physician
  • Memphis, TN
National Provider Identifier
1770891152
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
48957 Issued in TN
Practice address
2252 Lamar Ave
Memphis, TN 38114-6615
Phone
(901) 671-1800
Fax
(901) 671-0056
NPI assigned
Sep 20, 2010
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 48957 TN
Hospitalist Physician 208M00000X 48957 TN Primary

Addresses

Primary practice location

2252 Lamar Ave
Memphis, TN 38114-6615

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (901) 671-1800

Other practice location 1

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

Other practice location 2

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-5741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20121211000161 TN Practitioner - Internal Medicine 3971755349 Reassigns benefits to 3 organizations
Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1500 W Poplar Ave
Collierville, TN 38017-0601
Phone (901) 861-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Methodist Inpatient Physicians LLC Internal Medicine CurrentSince Jan 8, 2018 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Baptist Memorial Hospital Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

2252 Lamar Ave
Memphis, TN 38114
Phone (901) 671-1800

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: fchaudhry43845@mlh.direct-ci.com

Organizations & group practices 5

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.

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1770891152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "901-671-1800",
            "fax_number": "901-671-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 LAMAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381146615",
            "telephone_number": "901-671-1800",
            "fax_number": "901-671-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6019 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38120",
            "country_code": "US",
            "telephone_number": "901-226-3190",
            "fax_number": "901-226-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Wesley Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381166426",
            "country_code": "US",
            "telephone_number": "901-516-5741",
            "fax_number": "901-516-5986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "FATIMA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "48957",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "48957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.