Active NPI
Mohammad S Chaudhry, MD
- Surgery Physician
- Hazard, KY
National Provider Identifier
1922056019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 18888
- Practice address
- 200 Medical Center Dr
Hazard, KY 41701-9466 - Phone
- (606) 439-6779
- Fax
- (606) 439-6978
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18888 | KY | |
| Surgery Physician | 208600000X | 18888 | KY | Primary |
Addresses
Primary practice location
200 Medical Center Dr
Hazard, KY 41701-9466
Mailing address
PO Box 37024
Baltimore, MD 21297-3024
Phone (423) 224-3250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18888 | Other | KY | MEDICAL LIC |
| 65904294 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins Community Hospital Dba Jenkins Community Hospital | Past | Accepting new patients | |
| Jenkins Healthcare Company Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Elkhorn City, KY
- NPI 1922143213
-
- Critical Access Hospital
- Jenkins, KY
- NPI 1790743607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1922056019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37024",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973024",
"telephone_number": "423-224-3250",
"fax_number": "423-224-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019466",
"telephone_number": "606-439-6779",
"fax_number": "606-439-6978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHRY",
"first_name": "MOHAMMAD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "18888",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "18888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LIC",
"identifier": "18888",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65904294",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.