Active NPI
Prabir K Chaudhuri, M.D.
- Surgical Oncology Physician
- Toledo, OH
National Provider Identifier
1821092743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 35053332
- Practice address
- 1325 Conference Dr
Toledo, OH 43614-8009 - Phone
- (419) 383-6644
- Fax
- (419) 383-2924
- NPI assigned
- Jun 9, 2005
- Last updated
- Jan 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35053332 | OH | |
| Surgical Oncology Physician | 2086X0206X | 35053332 | OH | Primary |
Addresses
Primary practice location
1325 Conference Dr
Toledo, OH 43614-8009
Mailing address
4510 Dorr St
Toledo, OH 43615-4040
Phone (419) 383-4025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0618746 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35053332 | OH | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University of Ohio at Toledo | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1325 Conference Dr
Toledo, OH 43614
Phone (419) 383-4541
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
Interoperability endpoints
- pchaudhuri25563@direct.utoledo.edu
Organizations & group practices 2
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.
-
dba University of Toledo Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1821092743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 DORR ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436154040",
"telephone_number": "419-383-4025",
"fax_number": "419-383-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 CONFERENCE DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436148009",
"telephone_number": "419-383-6644",
"fax_number": "419-383-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHURI",
"first_name": "PRABIR",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35053332",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "OH",
"license": "35053332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0618746",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.