Individual provider Active NPI

Mohammed I Chowdhry

  • Endocrinology, Diabetes & Metabolism Physician
  • Rockaway Beach, NY
National Provider Identifier
1922050558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
136703 Issued in NY
Practice address
357 Beach 89TH St
Rockaway Beach, NY 11693-1408
Phone
(718) 318-1090
Fax
(718) 318-4953
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 136703 NY Primary

Addresses

Primary practice location

357 Beach 89TH St
Rockaway Beach, NY 11693-1408

Mailing address

357 Beach 89TH St
Rockaway Beach, NY 11693-1408
Phone (718) 318-1090

Other identifiers 1

IdentifierTypeStateIssuer
00707144MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050414001202 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 5991742504 Reassigns benefits to 1 organization
Practice locations: Arverne, NY; Rockaway Beach, NY

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph P. Addabbo Family Health Center, Inc.Group PAC ID 0749174654, 30 clinicians

Practice addresses (Care Compare)

6200 Beach Channel Dr
Arverne, NY 11692-1409

Hospital & facility affiliations

  • St John'S Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

National Provider Directory

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

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Aug 18, 2024 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Aug 18, 2024 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
St John'S Medical Services PC CurrentSince Apr 14, 2009 Accepting new patients
Good Will Medical, P.C. Past Accepting new patients
Good Will Medical, P.C. Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

6200 Beach Channel Dr
Fl 3
Arverne, NY 11692
Phone (929) 995-0733

6200 Beach Channel Dr
Arverne, NY 11692
Phone (718) 945-2400

431 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2700

1288 Central Ave
Far Rockaway, NY 11691
Phone (718) 327-1700

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mohammed.chowdhury.1@14448.direct.athenahealth.com
  • Direct secure messaging: mohammed.chowdhry@jpafhc.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922050558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 BEACH 89TH ST",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931408",
            "telephone_number": "718-318-1090",
            "fax_number": "718-318-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 BEACH 89TH ST",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931408",
            "telephone_number": "718-318-1090",
            "fax_number": "718-318-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHRY",
        "first_name": "MOHAMMED",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "136703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00707144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

Verify at the official NPI Registry.