Individual provider Active NPI

Amina Ashraf Chaudhry, M.D.

  • Internal Medicine Physician
  • Rosebud, SD
National Provider Identifier
1780633883
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230413 Issued in NY
Practice address
400 Soldier Creek Dr
Rosebud, SD 57570-8502
Phone
(605) 747-2231
NPI assigned
May 8, 2006
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-23634-0 HI
Internal Medicine Physician 207R00000X R6536 TX
Internal Medicine Physician 207R00000X MD216358 OR
Internal Medicine Physician 207R00000X C165447 CA
Internal Medicine Physician 207R00000X D62989 MD
Internal Medicine Physician 207R00000X 290938 MA
Internal Medicine Physician 207R00000X 25MA11909500 NJ
Internal Medicine Physician 207R00000X 230413 NY Primary

Addresses

Primary practice location

400 Soldier Creek Dr
Rosebud, SD 57570-8502

Mailing address

2810 N Church St Ste 88074
Wilmington, DE 19802-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190909003528 TX Practitioner - Internal Medicine 1153392295 Reassigns benefits to 1 organization
I20220505000384 MA Practitioner - Internal Medicine 1153392295 Reassigns benefits to 2 organizations
I20250508002760 DC Practitioner - Internal Medicine 1153392295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Tufts University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica del Pueblo IncGroup PAC ID 3971490558, 18 clinicians
Rosebud Indian Health ServiceGroup PAC ID 6901704055, 76 clinicians

Practice addresses (Care Compare)

2831 15TH St NW
Washington, DC 20009-4607
Phone (240) 582-8828

2970 Belcrest Ctr Dr
Hyattsville, MD 20782-1987
Phone (240) 582-8828

400 Soldier Creek Dr
Rosebud, SD 57570-8502
Phone (918) 457-8945

PO Box
Suite 400
Rosebud, SD 57570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C165447CAMDInternal Medicine Physician
MD-23634-0HIMDInternal Medicine Physician
25MA11909500NJMDInternal Medicine Physician
230413NYMDInternal Medicine Physician
MD216358ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Apr 14, 2022 Accepting new patients
La Clinica del Pueblo, Inc. Current Accepting new patients
La Clinica del Pueblo, Inc CurrentSince Jan 31, 2025 Accepting new patients
Rosebud Indian Health Service CurrentSince Jul 16, 2019 Accepting new patients
Rosebud Indian Health Service CurrentSince Jul 16, 2019 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Apr 14, 2022 Accepting new patients
Montefiore Medical Center Internal Medicine Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

2831 15th St NW
Washington, DC 20009
Phone (202) 462-4788

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

2970 Belcrest Center Dr
Unit 301
Hyattsville, MD 20782
Phone (202) 462-4788

Interoperability endpoints

  • Direct secure messaging: amina.chaudhry.1@25658.direct.athenahealth.com
  • Direct secure messaging: amina.chaudhry@lcdp.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
La Clinica del Pueblo IncHyattsville, MD, CCN 211907 Federally qualified health center Corporate Officer Dec 2, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1780633883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N CHURCH ST STE 88074",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOLDIER CREEK DR",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575708502",
            "telephone_number": "605-747-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "AMINA",
        "middle_name": "ASHRAF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-23634-0",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R6536",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD216358",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C165447",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D62989",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "290938",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11909500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosebud, SD

Sources for this page

Verify at the official NPI Registry.