Individual provider Active NPI

Imran H. Chowdhury, MD

  • Radiation Oncology Physician
  • Fairfield, OH
National Provider Identifier
1891224317
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
274961 Issued in MA
Practice address
2960 Mack Rd Ste 105
Fairfield, OH 45014-5632
Phone
(513) 751-2273
Fax
(513) 751-2138
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Radiation Oncology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Care Inc 63 clinicians

Practice addresses (Care Compare)

4777 E Galbraith Rd
Suite 1
Cincinnati, OH 45236-2725
Phone (513) 751-2273

Hospital & facility affiliations

  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220907003270 OH Practitioner - Internal MedicinePractitioner - Radiation Oncology 5092084194 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274961MAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Care Inc CurrentSince Sep 1, 2022 Accepting new patients
Oncology Hematology Care, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Oncology Hematology Care, Inc. Radiation Oncology Past Accepting new patients
Oncology/ Hematology Care, Inc. Radiation Oncology Past Accepting new patients
Oncology/ Hematology Care, Inc. Radiation Oncology Past Accepting new patients

Locations

4777 E Galbraith Rd
Ste 320
Cincinnati, OH 45236

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 751-2145

5053 Wooster Rd
Cincinnati, OH 45226
Phone (513) 751-2145

4777 E Galbraith Rd
#1
Cincinnati, OH 45236

3050 Mack Rd
Ste 300
Fairfield, OH 45014
Phone (513) 682-4800

2960 Mack Rd
Ste 105
Fairfield, OH 45014
Phone (513) 751-4467

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 274961 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

2960 Mack Rd Ste 105
Fairfield, OH 45014-5632

Mailing address

5053 Wooster Rd
Cincinnati, OH 45226-2326
Phone (513) 751-2273

Other practice location 1

2139 Auburn Ave
Cincinnati, OH 45255
Phone (513) 585-0855

Other practice location 2

593 Eddy St
Providence, RI 02903-4923
Phone (844) 222-2881

Other practice location 3

800 Washington St # 359
Boston, MA 02111
Phone (617) 636-6175

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address Imran.Chowdhury@ohc.ikm.direct-ci.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 15, 2022.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1891224317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 WOOSTER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452262326",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 MACK RD STE 105",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145632",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2139 Auburn Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45255",
            "country_code": "US",
            "telephone_number": "513-585-0855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "844-222-2881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Washington St # 359",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02111",
            "country_code": "US",
            "telephone_number": "617-636-6175",
            "fax_number": "617-636-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "IMRAN",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "274961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Imran.Chowdhury@ohc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2960 Mack Rd Ste 105",
            "city": "Fairfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450145632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.