Individual provider Active NPI

Mihir Jay Chaudhary, MD

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1902250814
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1902250814 Issued in CA
Practice address
69 Jesse Hill Jr. Drive, SW
Glenn Memorial Building, 3Rd Floor
Atlanta, GA 30303
Phone
(404) 251-8915
Fax
(404) 523-3931
NPI assigned
Apr 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 036165288 IL
Surgery Physician 208600000X 1902250814 CA Primary

Addresses

Primary practice location

69 Jesse Hill Jr. Drive, SW
Glenn Memorial Building, 3Rd Floor
Atlanta, GA 30303

Mailing address

69 Jesse Hill Jr. Drive SW
Floor 3, Glenn Memorial Building
Atlanta, GA 30303
Phone (404) 251-8915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, GA, IA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200427000094 MD Practitioner - General Surgery 7012266083 Reassigns benefits to 1 organization
I20240711001189 GA Practitioner - General Surgery 7012266083 Reassigns benefits to 1 organization
I20260521000716 IA Practitioner - General Surgery 7012266083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Harvard Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

417 S E St
Corydon, IA 50060-1860
Phone (641) 872-2063

417 S E St
Corydon, IA 50060-1865
Phone (641) 872-2260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1902250814CAMDSurgery Physician
036165288ILMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Surgery CurrentSince Jun 26, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jun 26, 2024 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Emory Medical Care Foundation Inc Surgery Current Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Apr 1, 2020 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Apr 1, 2020 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

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 and National Provider Directory roles.

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": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1902250814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR. DRIVE SW",
            "address_2": "FLOOR 3, GLENN MEMORIAL BUILDING",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-251-8915",
            "fax_number": "404-523-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR. DRIVE, SW",
            "address_2": "GLENN MEMORIAL BUILDING, 3RD FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-251-8915",
            "fax_number": "404-523-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "MIHIR",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-17",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036165288",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "1902250814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.