Bassam Tahir Choudhry, MD, MPH in Derby, CT - Medicare Critical Care (intensivists)

Bassam Tahir Choudhry, MD, MPH is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Derby, Connecticut. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Banner Hospital Based Physicians Arizona Llc and his current practice location is 130 Division St, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 732-7327.

Bassam Tahir Choudhry is licensed to practice in Alabama (license number MD.38735) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477833028.

Contact Information

	Bassam Tahir Choudhry, MD, MPH
	130 Division St, Derby, CT 06418-1326
	(203) 732-7327
	Not Available

Map and Direction

Physician's Profile

Full Name	Bassam Tahir Choudhry
Gender	Male
Speciality	Critical Care (intensivists)
Experience	14 Years
Location	130 Division St, Derby, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bassam Tahir Choudhry graduated from medical school in 2010

NPI Data:

NPI Number: 1477833028
Provider Enumeration Date: 08/26/2011
Last Update Date: 08/02/2018

Medicare PECOS Information:

PECOS PAC ID: 7810247772
Enrollment ID: I20220321001268

Medical Identifiers

Medical identifiers for Bassam Tahir Choudhry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477833028	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	MD.38735 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Thunderbird Medical Center	Glendale, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Hospital Based Physicians Arizona Llc	3274782487	405

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bassam Tahir Choudhry allows following entities to bill medicare on his behalf.

Entity Name	Banner Hospital Based Physicians Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bassam Tahir Choudhry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bassam Tahir Choudhry, MD, MPH Po Box 11407, Dept# 5839, Birmingham, AL 35660-5839 Ph: (256) 320-5019	Bassam Tahir Choudhry, MD, MPH 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7327

Reviews and Comments

Internal Medicine Doctors in Derby, CT

Genevieve Cecile Kela, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7327
Dr. Gerald George Fette, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332
Dr. Howard Quentzel, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7439 Fax: 203-732-1425
Dr. Mukesh Kumar, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332
Earl Lewin Baker, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-735-7421
Aartee Deshpande, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330
Mark S Grogan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-732-7455 Fax: 203-735-5507

Bassam Tahir Choudhry, MD, MPH - Medicare Critical Care (intensivists) in Derby, CT