NPIMap

Individual provider Active NPI

Shahid Sattar Chaudhary, M.D.

  • Nephrology Physician
  • Missoula, MT
National Provider Identifier
1902986987
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
58087 Issued in MT
Practice address
2835 Fort Missoula Rd Ste 203
Missoula, MT 59804-7424
Phone
(406) 327-4283
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 5304 SD
Nephrology Physician 207RN0300X 58087 MT Primary

Addresses

Primary practice location

2835 Fort Missoula Rd Ste 203
Missoula, MT 59804-7424

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-2895

Other identifiers 8

IdentifierTypeStateIssuer
57401G001OtherSDTRICARE
13467MedicaidND
4726OtherSDAVERA HEALTH PLAN
6631000MedicaidSD
2188442OtherSDAMERICA'S PPO
5304OtherSDDAKOTACARE
255950OtherMIDLANDS CHOICE
4995138OtherSDWELLMARK BCBS OF SD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170830003377 MT Practitioner - Nephrology 8921070442 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians
Tigris Nephrology PLLCGroup PAC ID 6901205632, 4 clinicians

Practice addresses (Care Compare)

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211

2230 N Reserve St
Suite 402
Missoula, MT 59808-1364
Phone (406) 721-0533

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-4058

2833 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 541-7246

2835 Fort Missoula Rd
Suite 203
Missoula, MT 59804-7424
Phone (406) 327-4283

2837 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-3943

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58087MTMDNephrology Physician
5304SDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jul 11, 2017 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Nov 12, 2021 Accepting new patients
Tigris Nephrology PLLC Nephrology CurrentSince Jun 15, 2021 Accepting new patients
Marcus Daly Memorial Hospital Corporation Nephrology CurrentSince Nov 12, 2021 Accepting new patients
Cogent Healthcare of Montana P C CurrentSince Jul 9, 2017 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jul 11, 2017 Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1200 Westwood Dr
Ste J
Hamilton, MT 59840
Phone (406) 375-4758

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

2835 Fort Missoula Rd
Ste 204
Missoula, MT 59804
Phone (406) 327-3935

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2835 Fort Missoula Rd
Ste 203
Missoula, MT 59804
Phone (406) 327-4091

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23552/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shahid.chaudhary.1@23552.direct.athenahealth.com

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.

Hospital & facility affiliations 10

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1902986987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-2895",
            "fax_number": "605-622-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 203",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-327-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "SHAHID",
        "middle_name": "SATTAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SD",
            "license": "5304",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MT",
            "license": "58087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "57401G001",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13467",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLAN",
            "identifier": "4726",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6631000",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "2188442",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "5304",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "255950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF SD",
            "identifier": "4995138",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.