Active NPI
Muhammad W Choudhry, MD
- Interventional Cardiology Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A166359
- Practice address
- 2333 N California St
Stockton, CA 95204-5530 - Phone
- (209) 942-1005
- Fax
- (209) 942-0455
- NPI assigned
- Jul 19, 2010
- Last updated
- Jun 22, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Q4379 | TX | |
| Interventional Cardiology Physician | 207RI0011X | Q4379 | TX | |
| Interventional Cardiology Physician | 207RI0011X | A166359 | CA | Primary |
Addresses
Primary practice location
2333 N California St
Stockton, CA 95204-5530
Mailing address
2800 N California St
Ste 14a
Stockton, CA 95204-3760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2800 N California St
Suite 14
Stockton, CA 95204-3759
Phone (209) 942-1005
Hospital & facility affiliations
- St Joseph's Medical Center of Stockton
- Dameron Hospital
- Adventist Health Lodi Memorial
- Mark Twain Medical Center
- Sutter Tracy Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166359 | CA | MD | Interventional Cardiology Physician |
| Q4379 | TX | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Cardiology Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
Locations
900 S Fairmont Ave
Ste C
Lodi, CA 95240
Phone (209) 334-9911
2333 N California St
Stockton, CA 95204
Phone (209) 461-8062
2800 N California St
Ste 1
Stockton, CA 95204
Phone (209) 942-1161
2800 N California St
Ste 14
Stockton, CA 95204
Phone (209) 464-2605
2800 N California St
Ste 14A
Stockton, CA 95204
Phone (209) 464-7681
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mchoudhry555620@hisp.ehr.sutterhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Stockton, CA
- NPI 1497785455
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
-
dba Lodi Memorial Hospital
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
-
- Critical Access Hospital
- San Andreas, CA
- NPI 1508968819
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
dba Sutter Tracy Community Hospital
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1962715987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 N CALIFORNIA ST",
"address_2": "STE 14A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952043760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 N CALIFORNIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045530",
"telephone_number": "209-942-1005",
"fax_number": "209-942-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDHRY",
"first_name": "MUHAMMAD",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "Q4379",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "Q4379",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A166359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.