Individual provider Active NPI

Rida Khalil Choudhry, M.D

  • Family Medicine Physician
  • Sycamore, IL
National Provider Identifier
1780389494
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036179107 Issued in IL
Practice address
954 W State St
Sycamore, IL 60178-1335
Phone
(815) 895-9144
Fax
(815) 895-5740
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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 036179107 IL Primary

Addresses

Primary practice location

954 W State St
Sycamore, IL 60178-1335

Mailing address

954 W State St
Sycamore, IL 60178-1335
Phone (815) 895-9144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260605001315 IL Practitioner - Family Practice 0244691335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

954 W State St
Sycamore, IL 60178-1335

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036179107ILMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: rchoudhry105656@marywashingtonhealthcare.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1780389494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 W STATE ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781335",
            "telephone_number": "815-895-9144",
            "fax_number": "815-895-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 W STATE ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781335",
            "telephone_number": "815-895-9144",
            "fax_number": "815-895-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "RIDA",
        "middle_name": "KHALIL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036179107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.