Active NPI
Muktadir Choudry, M.D.
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD450947
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-3326
- NPI assigned
- Apr 15, 2010
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | MD450947 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-2236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140820001999 | PA | Practitioner - Anesthesiology | 0840418604 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of South Carolina School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - Anesthesia PCNorthstar Anesthesia of Pennsylvania LLC
Practice addresses (Care Compare)
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2000
Hospital & facility affiliations
- St Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD450947 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Pennsylvania, LLC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| North American Partners in Anesthesia, Pennsylvania , LLC | Anesthesiology | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Anesthesiology | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Associates in Anesthesia, Inc. | Anesthesiology | Current | Accepting new patients |
| Associates in Anesthesia | Anesthesiology | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147
30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
200 State St
Erie, PA 16507
Phone (814) 453-3900
460 Creamery Way
Ste 100
Exton, PA 19341
Phone (610) 594-8900
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
1403 Rhawn St
Philadelphia, PA 19111
Phone (215) 332-8100
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 15
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.
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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": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523577600000",
"number": "1881910883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-2236",
"fax_number": "516-945-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDRY",
"first_name": "MUKTADIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2018-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD450947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.