NPIMap

Individual provider Active NPI

Debasish Chaudhuri, MD

  • Cardiovascular Disease Physician
  • Muskogee, OK
National Provider Identifier
1811927833
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
32245 Issued in OK
Practice address
3340 W Okmulgee St
Muskogee, OK 74401-5069
Phone
(918) 687-6002
Fax
(918) 687-6216
NPI assigned
Jul 4, 2006
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 32245 OK Primary

Addresses

Primary practice location

3340 W Okmulgee St
Muskogee, OK 74401-5069

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (918) 488-6687

Other identifiers 3

IdentifierTypeStateIssuer
200593240AMedicaidOK
1811927833OtherNPI
750137OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070829000902 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7618074709 Reassigns benefits to 2 organizations
I20160801002249 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7618074709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

3332 W Okmulgee St
Muskogee, OK 74401-5069
Phone (918) 682-2481

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Jun 1, 2020 Accepting new patients
MD Hospitalists PLLC CurrentSince Nov 12, 2018 Accepting new patients
Saint Francis Hospital Muskogee Inc CurrentSince Jun 1, 2020 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jul 21, 2015 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jul 21, 2015 Accepting new patients
Muskogee Heart Center, Inc. PastSince Aug 16, 2020 Accepting new patients
Somerset Cardiovascular Associates, P.C. Cardiovascular Disease Past Accepting new patients
Humberto Nunez MD PA PastSince Oct 1, 2013 Accepting new patients
Murlidhar a. Amin, M.D., P.a. Cardiovascular Disease PastSince Aug 23, 2003 Accepting new patients
Cardiovascular Care, PC Cardiovascular Disease Past Accepting new patients

Locations

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

3340 W Okmulgee St
Muskogee, OK 74401
Phone (918) 687-6002

350 S 40th St
Muskogee, OK 74401
Phone (918) 683-0753

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

110 E Savannah Ave
Bldg B
McAllen, TX 78503
Phone (956) 686-7611

Interoperability endpoints

  • Direct secure messaging: dchaudhuri110675@direct.saintfrancis.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDGDD

Organizations & group practices 10

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 10

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1811927833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "918-488-6687",
            "fax_number": "918-488-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015069",
            "telephone_number": "918-687-6002",
            "fax_number": "918-687-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHURI",
        "first_name": "DEBASISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "32245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593240A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811927833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "750137",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.