KHALID I CHAUDHRY M.D.
NPI 1104921766
Psychiatry & Neurology - Psychiatry in Fond Du Lac, WI

Q: What is Khalid Chaudhry's NPI number?

The NPI number for Khalid Chaudhry is 1104921766. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Khalid Chaudhry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Khalid Chaudhry was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2006PECOS Enrolled

459 E 1ST ST, FOND DU LAC, WI 54935(920) 929-3500(920) 929-3129 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, Sep 25, 2018 (2 updates tracked since 2018).

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About Khalid I Chaudhry M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALID I CHAUDHRY M.D. (NPI 1104921766) is an individual psychiatry provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (66397) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rockville Centre, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1104921766

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameKHALID I CHAUDHRYCredential: M.D.

Location Address459 E 1ST STFond Du Lac, WI 54935-4505

Mailing Address1351 Ontario RdGreen Bay, WI 54311-8302 · (920) 328-1220 · Fax (920) 469-7213

Phone(920) 929-3500

Fax(920) 929-3129

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateSeptember 14, 2006

Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1104921766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in WI · 66397✔ Licensed in NY · 228976

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

459 E 1ST ST, Fond Du Lac, WI 54935

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Secondary Practice Location 1

Location 1100 N Village Ave, Suite 15Rockville Centre, NY 11570-3767 · Phone (347) 247-9172 · Fax (631) 886-5700

Other Identifiers 2

Medicaid02460979NY

Medicaid100063716WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khalid I Chaudhry M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234021445

PECOS Enrollment IDI20161229001269

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Khalid Chaudhry reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fond Du Lac County

Same address

Mental Health (Including Community Mental Health Center)

459 E 1ST ST
Fond Du Lac, WI 54935

Reassigned Medicare billing, Wisconsin enrollment
11 clinicians in this Medicare group

NPI 1053458935 (920) 929-3500

Sequoia Integrative Medical Services LLC

35 mi

Geriatric Medicine

1746 PAUL DR
Kaukauna, WI 54130

Reassigned Medicare billing, Wisconsin enrollment
24 clinicians in this Medicare group

NPI 1790312171 (920) 422-7402

Sbh-Green Bay LLC

54 mi

Psychiatric Hospital

1351 ONTARIO RD
Green Bay, WI 54311

Reassigned Medicare billing, Wisconsin enrollment
18 clinicians in this Medicare group

NPI 1922556778 (901) 969-3100

Sbh-Madison LLC

72 mi

Psychiatric Hospital

3169 DEMING WAY
Middleton, WI 53562

Reassigned Medicare billing, Wisconsin enrollment
14 clinicians in this Medicare group

NPI 1023884871 (608) 716-8288

Mercy Medical Center

787 mi

Psychiatric Unit

1000 N. VILLAGE AVENUE
Rockville Centre, NY 11571

Reassigned Medicare billing, New York enrollment
266 clinicians in this Medicare group

NPI 1487698544 (516) 705-2525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

299 services28 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

137 services36 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

112 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

85 services42 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

58 services27 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

52 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA R PIEPER

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