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CHAUDHRY M.S. GHUMMAN M.D
NPI 1568536688
Internal Medicine - Pulmonary Disease in Queens Village, NY

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
21838 HILLSIDE AVE, QUEENS VILLAGE, NY 11427(718) 465-7746(718) 465-1199 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chaudhry M.s. Ghumman M.d NPPES

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

CHAUDHRY M.S. GHUMMAN M.D (NPI 1568536688) is an individual pulmonary disease provider in Queens Village, New York, licensed in New York (189683) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1568536688
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameCHAUDHRY M.S. GHUMMANCredential: M.D
Location Address21838 HILLSIDE AVEQueens Village, NY 11427-1916
Mailing Address237 Center StWilliston Park, NY 11596-1006 · (516) 639-6800 · Fax (718) 465-1199
Phone(718) 465-7746
Fax(718) 465-1199
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 20, 2006
Last NPPES UpdateOctober 2, 2014
✔ NPI 1568536688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 189683
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
21838 HILLSIDE AVE, Queens Village, NY 11427
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chaudhry M.s. Ghumman M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052455979
PECOS Enrollment IDI20100216000608
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.

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
724 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
216 services59 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
39 services38 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
36 services35 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
36 services35 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
25 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11427 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims67 services$1.62 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers21 claims21 services$23.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

METRO MEDICAL PC
Family Medicine
21838 HILLSIDE AVE
QUEENS VILLAGE, NY 11427
Queens County (917) 742-8283
GHUMMAN MEDICAL CARE PLLC
Health Maintenance Organization
21838 HILLSIDE AVE
QUEENS VILLAGE, NY 11427
Queens County (718) 465-7746
MC MEDICAL CARE PLLC
Internal Medicine
21838 HILLSIDE AVE
QUEENS VILLAGE, NY 11427
Queens County (718) 233-8871
NAZNEEN KHALID MD
Family Medicine
21838 HILLSIDE AVE
QUEENS VILLAGE, NY 11427
Queens County (718) 465-7746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chaudhry Ghumman's NPI number?

The NPI number for Chaudhry Ghumman is 1568536688. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Chaudhry Ghumman located?

Chaudhry Ghumman practices at 21838 Hillside Ave, Queens Village, NY 11427. The listed phone number is (718) 465-7746.

What is Chaudhry Ghumman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Chaudhry Ghumman enrolled in Medicare?

Yes. Chaudhry Ghumman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Chaudhry Ghumman was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.