NPIMap

Individual provider Active NPI

Ali Chaudhry, MD

  • Internal Medicine Physician
  • Fort Mohave, AZ
National Provider Identifier
1982929758
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15706 Issued in ND
Practice address
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone
(928) 788-2273
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8909 SD
Internal Medicine Physician 207R00000X 15706 ND Primary

Addresses

Primary practice location

5330 S Highway 95
Fort Mohave, AZ 86426-9225

Mailing address

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 696-9000

Other practice location 1

300 22nd Ave
Brookings, SD 57006-2480
Phone (605) 696-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131011000132 SD Practitioner - Internal Medicine 6305070046 Reassigns benefits to 6 organizations
I20241105003918 AZ Practitioner - Internal Medicine 6305070046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians
City of BrookingsGroup PAC ID 1052307105, 112 clinicians

Practice addresses (Care Compare)

105 S State St
Suite 113
Aberdeen, SD 57401-4502
Phone (605) 225-0378

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-2303

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351

Hospital & facility affiliations

  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Brookings Health System Hospital, Brookings, SD, CCN 430008
  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15706NDMDInternal Medicine Physician
8909SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Lukes CurrentSince Jul 1, 2019 Accepting new patients
Avera St. Luke'S CurrentSince Jul 1, 2019 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jul 11, 2013 Accepting new patients
Avera McKennan CurrentSince Jul 1, 2019 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Sep 23, 2024 Accepting new patients
Sanford Health Network Family Medicine Current Accepting new patients
Avera St Marys CurrentSince Feb 1, 2022 Accepting new patients
City of Brookings Current Accepting new patients
Sanford Health Network CurrentSince Jun 19, 2019 Accepting new patients
Avera St Marys CurrentSince Feb 1, 2022 Accepting new patients
Avera St. Luke'S Internal Medicine Current Accepting new patients
City of Brookings CurrentSince Apr 6, 2022 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Sep 23, 2024 Accepting new patients
Avera McKennan CurrentSince Jul 1, 2019 Accepting new patients
Sanford Health Network CurrentSince Jun 19, 2019 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Avera McKennan Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jul 11, 2013 Accepting new patients
City of Brookings CurrentSince Apr 6, 2022 Accepting new patients
Avera St Lukes Past Accepting new patients
City of Brookings Past Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

105 S State St
Ste 113
Aberdeen, SD 57401
Phone (605) 225-0378

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Interoperability endpoints

  • Direct secure messaging: poa3373@yourcarecommunity.org

Organizations & group practices 40

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.

View all 40

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1982929758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062480",
            "telephone_number": "605-696-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 S HIGHWAY 95",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269225",
            "telephone_number": "928-788-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "SD",
            "postal_code": "570062480",
            "country_code": "US",
            "telephone_number": "605-696-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "8909",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "15706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

Verify at the official NPI Registry.