Active NPI
Chowdhury Sakera Ferdous, MD
- Obesity Medicine (Internal Medicine) Physician
- Boston, MA
National Provider Identifier
1801006507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- License
- 291356
- Practice address
- 330 Brookline Ave
Boston, MA 02215-5400 - Phone
- (617) 667-2845
- Fax
- (617) 667-2845
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52103 | TN | |
| Hospitalist Physician | 208M00000X | 2018-00390 | NC | |
| Hospitalist Physician | 208M00000X | TMD004813 | PA | |
| Hospitalist Physician | 208M00000X | MD472519 | PA | |
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | 291356 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
330 Brookline Ave
Boston, MA 02215-5400
Mailing address
300 Brookline Ave
Boston, MA 02215-5403
Phone (617) 632-8762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52103 | TN | MD | Internal Medicine Physician |
| MD472519 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Form Health Associates Ma, P.C. | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients |
Locations
109 State St
Ste 5
Boston, MA 02109
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
100 N Academy Ave
Danville, PA 17822
Interoperability endpoints
- chowdhury.ferdous@168064768409604.direct.elationemr.com
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1801006507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155403",
"telephone_number": "617-632-8762",
"fax_number": "617-632-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400",
"telephone_number": "617-667-2845",
"fax_number": "617-667-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDOUS",
"first_name": "CHOWDHURY",
"middle_name": "SAKERA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "52103",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2018-00390",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "TMD004813",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD472519",
"primary": false
},
{
"code": "207RB0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Obesity Medicine",
"state": "MA",
"license": "291356",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.