AMAD CHOUDHRY M.D. NPI 1669835641
Internal Medicine in Rahway, NJ
NPI Profile for AMAD CHOUDHRY M.D.
Amad Choudhry is an internal medicine provider established in Rahway, New Jersey and his medical specialization is internal medicine with more than 9 years of experience. The NPI number of Amad Choudhry is 1669835641 and was assigned on March 2016. The practitioner's primary taxonomy code is 207R00000X with license number 25MA10615500 (NJ). The provider is registered as an individual and his NPI record was last updated 2 years ago.
An internist like Amad Choudhry M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Amad Choudhry is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Amad Choudhry is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Villages Regional Hospital, The.
The provider has performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities in the following quality measures: advance care plan, documentation of current medications in the medical record, leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes, measurement and improvement at the practice and panel level, participation in an ahrq-listed patient safety organization. and use of qcdr data for ongoing practice assessment and improvements. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $37.64 for a new patient copayment and $29.21 for an established patient copayment.
| NPI | 1669835641 |
| Provider Name | AMAD CHOUDHRY M.D. |
| Provider Location Address | 865 STONE ST RAHWAY, NJ 07065 |
| Provider Mailing Address | 865 STONE ST RAHWAY, NJ 07065 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 03-29-2016 |
| Last Update Date | 06-08-2020 |
Primary Taxonomy
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 25MA10615500 |
| License State | NJ |
| Taxonomy Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Business Address
AMAD CHOUDHRY M.D.
865 STONE ST
RAHWAY, NJ
ZIP 07065
Phone: (732) 850-2587
Mailing Address
AMAD CHOUDHRY M.D.
865 STONE ST
RAHWAY, NJ
ZIP 07065
Phone: (732) 850-2587
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3678808334 |
| PECOS Enrollment ID | I20190717002380, I20210414001040 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 07065 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $66.45 | $198.48 | $150.56 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $16.61 | $49.62 | $37.64 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $21.27 | $162.58 | $116.86 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.31 | $40.64 | $29.21 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 98% | 110 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Documentation of Current Medications in the Medical Record | 100% | 120 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes | Yes | N/A |
| Ensure full engagement of clinical and administrative leadership in practice improvement that could include one or more of the following: Make responsibility for guidance of practice change a component of clinical and administrative leadership roles; Allocate time for clinical and administrative leadership for practice improvement efforts, including participation in regular team meetings; and/orIncorporate population health, quality and patient experience metrics in regular reviews of practice performance. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Use of QCDR data for ongoing practice assessment and improvements | Yes | N/A |
| Use of QCDR data, for ongoing practice assessment and improvements in patient safety. | ||
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Amad Choudhry is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| VILLAGES REGIONAL HOSPITAL, THE | 1451 EL CAMINO REAL THE VILLAGES, FL 32159 | (352) 751-8000 | Acute Care Hospitals | 100290 |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 8 | 3 | 5 | 6 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 3 | 10 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 3 + 1 + 0 + 6 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1669835641 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215921051 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL @ RAHWAY Organization | Skilled Nursing Facility | 865 STONE ST RAHWAY, NJ 07065 (732) 499-6084 |
| 1740231760 | DR. HECTOR J. SANCHEZ MD Individual | Surgery | 865 STONE ST RAHWAY, NJ 07065 (732) 381-4949 |
| 1992752331 | DR. SCHUBERT PEROTTE MD Individual | Emergency Medicine | 865 STONE ST RAHWAY, NJ 07065 (732) 381-4200 |
| 1932134285 | RAYSHMA ALI Individual | Emergency Medicine (Emergency Medical Services) | 865 STONE ST RAHWAY, NJ 07065 (732) 680-7911 |
| 1861400160 | DR. VINCENT G VALENTE DO Individual | Emergency Medicine | 865 STONE ST RAHWAY, NJ 07065 (732) 381-4200 |
| 1700985546 | RAHWAY ANESTHESIOLOGISTS, PA Organization | Specialist | 865 STONE ST RAHWAY, NJ 07065 (732) 381-6303 |
| 1487753257 | FRANCIS B LIGHT MD Individual | Specialist | 865 STONE ST RAHWAY, NJ 07065 (732) 381-6303 |
| 1396844023 | STEVEN A DUMBROFF MD Individual | Specialist | 865 STONE ST RAHWAY, NJ 07065 (732) 381-6303 |
| 1508965237 | DOMINICK T LUCIANO MD Individual | Anesthesiology | 865 STONE ST RAHWAY, NJ 07065 (732) 381-6303 |
| 1265504062 | MICHELLE YE MD Individual | Specialist | 865 STONE ST RAHWAY, NJ 07065 (732) 499-6139 |
| 1558400093 | GEORGE NEUMANN CRNA Individual | Specialist | 865 STONE ST RAHWAY, NJ 07065 (732) 381-6303 |
| 1881733327 | ROBERTA J FRIMPTER CRNA Individual | Nurse Anesthetist, Certified Registered | 865 STONE ST RAHWAY, NJ 07065 (732) 381-6303 |
| 1457486383 | CAROL A GRANT CRNA Individual | Specialist | 865 STONE ST RAHWAY, NJ 07065 (732) 381-6303 |
| 1558486092 | DR. CONCEPCION DANCEL MD Individual | Emergency Medicine | 865 STONE ST RAHWAY, NJ 07065 (732) 381-4200 |
| 1124244009 | DR. SCOTT MERLIN M.D. Individual | Specialist | 865 STONE ST DEPARTMENT OF PATHOLOGY RAHWAY, NJ 07065 (732) 499-6139 |
| 1275706202 | DR. LYNN MCCOY D.O. Individual | Emergency Medicine | 865 STONE ST RAHWAY, NJ 07065 (732) 499-6100 |
| 1194961235 | HECTOR J SANCHEZ M D P C Organization | Surgery | 865 STONE ST RAHWAY, NJ 07065 (732) 381-4949 |
| 1265661425 | LAURA TAYLOR JOHNSON PAC Individual | Physician Assistant | 865 STONE ST RAHWAY, NJ 07065 (732) 680-7911 |
| 1417284811 | VIREL R PRAJAPATI PA-C Individual | Physician Assistant | 865 STONE ST RAHWAY, NJ 07065 (732) 381-4949 |
| 1326334327 | MS. JANETTA MORRIS R.T. Individual | Radiologic Technologist (Computed Tomography) | 865 STONE ST RAHWAY, NJ 07065 (732) 499-6119 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Amad Choudhry M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.