Individual provider Active NPI

Anju Choudhury, MD

  • Internal Medicine Physician
  • Rock Hill, SC
National Provider Identifier
1942266960
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17533 Issued in SC
Practice address
1393 Celanese Rd
Rock Hill, SC 29732-1722
Phone
(803) 329-3103
Fax
(803) 325-2232
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17533 SC Primary

Addresses

Primary practice location

1393 Celanese Rd
Rock Hill, SC 29732-1722

Mailing address

1393 Celanese Rd
Rock Hill, SC 29732-1722
Phone (803) 329-3103

Other identifiers 2

IdentifierTypeStateIssuer
790633WMedicaidNC
175330MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20060509000483 SC Practitioner - Internal Medicine 6002827763 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17533SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Family Medicine, LLC CurrentSince Jan 4, 2020 Accepting new patients

Locations

2450 India Hook Rd
Rock Hill, SC 29732
Phone (803) 366-7443

1393 Celanese Rd
Rock Hill, SC 29732
Phone (803) 329-3103

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1942266960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321722",
            "telephone_number": "803-329-3103",
            "fax_number": "803-325-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321722",
            "telephone_number": "803-329-3103",
            "fax_number": "803-325-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHURY",
        "first_name": "ANJU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790633W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175330",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.