Mohammad Salman Choudhary, M.D PHD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17816 Issued in PR

Practice address

1455 Dunn Ave
Daytona Beach, FL 32114-1437

Phone

(386) 323-9600

Fax

(386) 323-9695

NPI assigned

Feb 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caremax Clinic 711 LLCGroup PAC ID 3577806173, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mohammad.choudharymd.p1@direct.azahealth.nextgenshare.com

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.

• Caremax Clinic 711 LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1609359249
  Medicare reassignment Care Compare group NPD
• Premier Care Centre LLC

  • Family Medicine Physician
  • Winter Haven, FL
  • NPI 1518564699
  Medicare reassignment NPD

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1992037121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-0108",
            "fax_number": "386-325-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141437",
            "telephone_number": "386-323-9600",
            "fax_number": "386-323-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 W Oak Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328094710",
            "country_code": "US",
            "telephone_number": "407-282-8567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3927 Rosewood Way",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32808",
            "country_code": "US",
            "telephone_number": "407-292-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5243 E Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328071814",
            "country_code": "US",
            "telephone_number": "786-495-4591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDHARY",
        "first_name": "MOHAMMAD",
        "middle_name": "SALMAN",
        "name_prefix": "Dr.",
        "credential": "M.D PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN343",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratap Chintala, M.D.
• Jacob David Chiofalo
• Chiropractic Home Services of Central Florida
• Shannon Dre Chisholm, PA-C
• Monica Chitta
• Medhat Rafique Chowdhury, MD
• CHP FL Medical Affiliates, PLLC
• Kelsey Chrisley, ARNP
• Joseph Alma Christensen, DO
• Edward Christy, M.D.

• General Practice Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.

Verify at the official NPI Registry.