Individual provider Active NPI

Muhammad W Choudhry, MD

  • Interventional Cardiology Physician
  • Stockton, CA
National Provider Identifier
1962715987
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A166359 Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615001636 CA Practitioner - Interventional Cardiology 4082855036 Reassigns benefits to 1 organization

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
San Joaquin Cardiology Medical Group IncGroup PAC ID 7911916499, 7 clinicians

Practice addresses (Care Compare)

2800 N California St
Suite 14
Stockton, CA 95204-3759
Phone (209) 942-1005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166359CAMDInterventional Cardiology Physician
Q4379TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Cardiology Medical Group Inc Cardiovascular Disease CurrentSince Jul 15, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.