Chaudhry Clinic LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CHAUDHRY CLINIC LLC

Doing business as

Chaudhry Clinic LLC

Practice address

11809 Highway 84 W
Jena, LA 71342-3703

Phone

(318) 992-4133

NPI assigned

Oct 7, 2020

Last updated

Sep 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Riaz Masud Chaudhry, MDNPI 1306882568

Title

Owner

Phone

(318) 992-4133

Specialties & licenses 1

Addresses

Other names 1

• CHAUDHRY CLINIC LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891392304. Details of each certification follow.

• CCN 193973 Rural health clinic · Active · Details

Rural health clinic certification: CCN 193973

Legal name

CHAUDHRY CLINIC LLC

Doing business as

CHAUDHRY CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Aug 11, 2021

Last certification

Aug 11, 2024

Ownership / control type

1B

Organization structure

LLCProprietary

Enrollment address

11809 Highway 84 W
Jena, LA 71342-3703

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Chaudhry Clinic LLC

  • Health Service Clinic/Center
  • Jena, LA
  • NPI 1811136682

  8820141146

  Same PAC ID

Tax ID family

Chaudhry Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chaudhry Clinic LLC

  • Health Service Clinic/Center
  • Jena, LA
  • NPI 1811136682
  NPD tax ID

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Riaz Masud Chaudhry, MD

  • Family Medicine Physician
  • Jena, LA
  • NPI 1306882568

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Chaudhry Clinic LLC

  • Health Service Clinic/Center
  • Jena, LA
  • NPI 1811136682
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Riaz Masud Chaudhry, MD

  • Family Medicine Physician
  • Jena, LA
  • NPI 1306882568
  NPD Authorized official
• Linda Ford, FNP-BC

  • Family Health Clinical Nurse Specialist
  • Jena, LA
  • NPI 1689116964
  NPD

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1891392304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "address_2": "11809 HWY 84",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713421470",
            "telephone_number": "318-992-4133",
            "fax_number": "318-992-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 HIGHWAY 84 W",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713423703",
            "telephone_number": "318-992-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUDHRY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_middle_name": "MASUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-992-4133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAUDHRY CLINIC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deidre Carter
• Melissa Cater, BSN, RN
• Cecil C Gaddis DDS., a Professional Dental Corporation
• Cenla Dialysis Care LLC
• Chaudhry Clinic LLC
• Riaz Masud Chaudhry, MD
• Christus Health Central Louisiana (Jena Junior High SBHC)
• Christus Health Central Louisiana (Jena High SBHC)
• Charles D. Clauss, D.C.
• Martin Eldridge Cloessner Jr., RPH

• Rural Health Clinic/Center in Jena, LA
• Providers in Jena, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.