Active NPI
Shahid M Chaudhary, M.D.
- General Practice Physician
- Mayaguez, PR
National Provider Identifier
1932187499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19793
- Practice address
- Rochelaise Center, Western Indust Park. Oficina 3B
Carr 114, KM 0.4
Mayaguez, PR 00680-0068 - Phone
- (787) 412-7805
- NPI assigned
- Jan 5, 2006
- Last updated
- Nov 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19793 | PR | Primary |
Addresses
Primary practice location
Rochelaise Center, Western Indust Park. Oficina 3B
Carr 114, KM 0.4
Mayaguez, PR 00680-0068
Mailing address
99 Calle Palencia, Urb. Sultana
Mayaguez, PR 00680-4633
Phone (787) 673-1238
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19793 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Star Medical LLC | Past | Accepting new patients | |
| Gold Star Medical LLC | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Hormigueros, PR
- NPI 1013794072
-
- Medical Specialty Clinic/Center
- Hormigueros, PR
- NPI 1073289922
-
- Body Imaging Physician
- Hormigueros, PR
- NPI 1194502567
-
- Radiology Clinic/Center
- Hormigueros, PR
- NPI 1831976877
-
- Clinic/Center
- Hormigueros, PR
- NPI 1073289005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1932187499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 CALLE PALENCIA, URB. SULTANA",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804633",
"telephone_number": "787-673-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROCHELAISE CENTER, WESTERN INDUST PARK. OFICINA 3B",
"address_2": "CARR 114, KM 0.4",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006800068",
"telephone_number": "787-412-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHARY",
"first_name": "SHAHID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2024-11-12",
"certification_date": "2024-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "19793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.