Individual provider Active NPI

Ayesha Chaudhry, MD

  • Internal Medicine Physician
  • Hamden, CT
National Provider Identifier
1841450657
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
046342 Issued in CT
Practice address
1650 Dixwell Ave
Hamden, CT 06514-3615
Phone
(203) 288-1700
Fax
(203) 859-5392
NPI assigned
Jun 16, 2008
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 046342 CT Primary
Hospitalist Physician 208M00000X 046342 CT

Addresses

Primary practice location

1650 Dixwell Ave
Hamden, CT 06514-3615

Mailing address

1650 Dixwell Ave
# A
Hamden, CT 06514-3615
Phone (860) 358-4720

Other practice location 1

130 Division St
Derby, CT 06418-1326
Phone (203) 735-7421

Other identifiers 1

IdentifierTypeStateIssuer
046342OtherCTCT LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20080814000013 CT Practitioner - Internal MedicinePractitioner - Hospitalist 5496829582 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Griffin Faculty Physicians IncGroup PAC ID 7618871997, 125 clinicians

Practice addresses (Care Compare)

130 Division St
Derby, CT 06418-1326
Phone (203) 732-1352

1650 Dixwell Ave
A
Hamden, CT 06514-3615
Phone (203) 288-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046342CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cytoheal Wound Solutions PLLC CurrentSince Mar 19, 2025 Accepting new patients
Griffin Faculty Physicians, Inc. Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients
Alliance Medical Group, Inc Internal Medicine PastSince Jan 1, 2010 Accepting new patients
Alliance Medical Group of Greater Waterbury PC Internal Medicine Past Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

130 Division St
Fl 1
Derby, CT 06418
Phone (203) 732-1257

Organizations & group practices 7

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1841450657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 DIXWELL AVE",
            "address_2": "# A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143615",
            "telephone_number": "860-358-4720",
            "fax_number": "860-358-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143615",
            "telephone_number": "203-288-1700",
            "fax_number": "203-859-5392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Division St",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "CT",
            "postal_code": "064181326",
            "country_code": "US",
            "telephone_number": "203-735-7421",
            "fax_number": "203-732-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "046342",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "046342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE #",
            "identifier": "046342",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.