Mohammad Bilal Chaudhary, M.D.
Individual provider Active NPI Internal Medicine Physician · Elmhurst, NY
NPI 1780115436 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1780115436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 37107 (OK)
- Practice address
- 701-01 Broadway, A1-16
Mount Sinai Services Elmhurst Hospital Center
Elmhurst, NY 11373 - Phone
- (718) 334-4000
- Fax
- (718) 334-5845
- NPI assigned
- Mar 24, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comanche County Healthcare Corporation
Practice addresses (Care Compare)
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 510-7037
Hospital & facility affiliations
- Memorial Health
- Mercy Hospital Ada
- Integris Baptist Medical Center, Inc
- O U Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201021002105 | OK | Practitioner - Internal Medicine | 1254670029 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare | Current |
Accepting new patients | |
| Comanche County Healthcare Corporation | Current |
Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Internal Medicine | Current |
Accepting new patients |
| Mercy Hospital Ada, Inc | Past | Accepting new patients | |
| Comanche County Hospital Authority | Past | Accepting new patients |
Locations
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- mchaudhary2129512@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 37107 | OK | Yes |
Addresses
Primary practice location
701-01 Broadway, A1-16
Mount Sinai Services Elmhurst Hospital Center
Elmhurst, NY 11373
Mailing address
701-01 Broadway, A1-16
Mount Sinai Services Elmhurst Hospital Center
Elmhurst, NY 11373
Phone (718) 334-4000
Other providers in Elmhurst, NY
- Sue Mink Billy Chang
- Anne-Marie Channer
- Kevin Alexander Charlotten
- Joaquin Charris
- Christina Chatelain
- Hassan Waqar Chaudhry
- Naeem Akhter Chaudhry
- Kajori Chaudhuri
- Yanick Chaumin
- Simren Chawla
All providers in Elmhurst, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.