Individual provider Active NPI

Umbreen J Chaudhary, M.D.

  • Internal Medicine Physician
  • Asheboro, NC
National Provider Identifier
1841288685
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200400470 Issued in NC
Practice address
610 N Fayetteville St Ste 301
Asheboro, NC 27203-4671
Phone
(336) 633-4034
Fax
(866) 467-6816
NPI assigned
Oct 6, 2005
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200400470 NC
Internal Medicine Physician 207R00000X 200400470 NC Primary

Addresses

Primary practice location

610 N Fayetteville St Ste 301
Asheboro, NC 27203-4671

Mailing address

610 N Fayetteville St
Suite 300
Asheboro, NC 27203-4670
Phone (336) 633-4020

Other practice location 1

610 N Fayetteville St
Suite 300
Asheboro, NC 27203-4670
Phone (336) 633-4020

Other identifiers 5

IdentifierTypeStateIssuer
D6686OtherMEDCOST
2188524OtherCIGNA
89138GEMedicaidNC
2417273OtherUNITED HEALTHCARE
138GEOtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041029000397 NC Practitioner - Internal Medicine 8325000656 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Pulmonary & Sleep Clinic, PLLC Specialist CurrentSince Jul 28, 2004 Accepting new patients

Locations

610 N Fayetteville St
Ste 300
Asheboro, NC 27203
Phone (336) 633-4020

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1841288685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST",
            "address_2": "SUITE 300",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034670",
            "telephone_number": "336-633-4020",
            "fax_number": "336-633-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST STE 301",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034671",
            "telephone_number": "336-633-4034",
            "fax_number": "866-467-6816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Fayetteville St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272034670",
            "country_code": "US",
            "telephone_number": "336-633-4020",
            "fax_number": "336-633-4069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "UMBREEN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200400470",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200400470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D6686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2188524",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138GE",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2417273",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "138GE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.