Individual provider Active NPI

Nabeel Yousaf Chaudhary, M.D , M.B.B.S

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1861620767
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R0549 Issued in TX
Practice address
400 N Beach St Ste 104
Fort Worth, TX 76111-7070
Phone
(817) 831-1750
Fax
(817) 831-1753
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R0549 TX Primary

Addresses

Primary practice location

400 N Beach St Ste 104
Fort Worth, TX 76111-7070

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170405001316 TX Practitioner - Internal Medicine 4789834516 Reassigns benefits to 2 organizations
I20181017002623 NY Practitioner - Internal MedicinePractitioner - Hospitalist 4789834516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AIDS Healthcare Foundation Texas, Inc.Group PAC ID 5991940520, 19 clinicians

Practice addresses (Care Compare)

2927 Guadalupe St
Austin, TX 78705-3721
Phone (512) 640-3100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0549TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation Texas Inc CurrentSince Feb 18, 2023 Accepting new patients
Northern Westchester Hospital Association Current Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Mar 27, 2017 Accepting new patients
Northern Westchester Hospital Association CurrentSince Sep 15, 2018 Accepting new patients
Ajs Brooklyn Medical Practice PC CurrentSince Jun 10, 2024 Accepting new patients
MVP Medical Practice PC CurrentSince Jun 10, 2024 Accepting new patients
Northern Westchester Hospital Association Internal Medicine CurrentSince Sep 15, 2018 Accepting new patients
AIDS Healthcare Foundation Texas Inc PastSince May 7, 2024 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

16121 Jamaica Ave
Fl 7
Jamaica, NY 11432
Phone (718) 896-2500

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2927 Guadalupe St
Austin, TX 78705
Phone (512) 474-2323

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

6633 E Highway 290
Ste 100
Austin, TX 78723
Phone (682) 800-3163

3920 Cedar Springs Rd
Dallas, TX 75219
Phone (214) 599-7020

400 N Beach St
Ste 104
Ft Worth, TX 76111
Phone (817) 831-1750

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1861620767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BEACH ST STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761117070",
            "telephone_number": "817-831-1750",
            "fax_number": "817-831-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "NABEEL",
        "middle_name": "YOUSAF",
        "credential": "M.D  ,  M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R0549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.