AMAD CHOUDHRY M.D. NPI 1669835641

Internal Medicine in Rahway, NJ

NPI 1669835641 Individual Male Years of Experience 9 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

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 Address865 STONE ST RAHWAY, NJ 07065
Provider Mailing Address865 STONE ST RAHWAY, NJ 07065
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2014
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-29-2016
Last Update Date06-08-2020


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.25MA10615500
License StateNJ
Taxonomy DescriptionA 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

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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 ID3678808334
PECOS Enrollment IDI20190717002380, 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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 changesYesN/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 LevelYesN/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.YesN/A
Participation in an AHRQ-listed patient safety organization.
Use of QCDR data for ongoing practice assessment and improvementsYesN/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, THE1451 EL CAMINO REAL
THE VILLAGES, FL 32159
(352) 751-8000Acute Care Hospitals100290

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.
1669835641
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291631068
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 = 11

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
1215921051ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL @ RAHWAY
Organization
Skilled Nursing Facility865 STONE ST
RAHWAY, NJ 07065
(732) 499-6084
1740231760DR. HECTOR J. SANCHEZ MD
Individual
Surgery865 STONE ST
RAHWAY, NJ 07065
(732) 381-4949
1992752331DR. SCHUBERT PEROTTE MD
Individual
Emergency Medicine865 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
1861400160DR. VINCENT G VALENTE DO
Individual
Emergency Medicine865 STONE ST
RAHWAY, NJ 07065
(732) 381-4200
1700985546RAHWAY ANESTHESIOLOGISTS, PA
Organization
Specialist865 STONE ST
RAHWAY, NJ 07065
(732) 381-6303
1487753257 FRANCIS B LIGHT MD
Individual
Specialist865 STONE ST
RAHWAY, NJ 07065
(732) 381-6303
1396844023 STEVEN A DUMBROFF MD
Individual
Specialist865 STONE ST
RAHWAY, NJ 07065
(732) 381-6303
1508965237 DOMINICK T LUCIANO MD
Individual
Anesthesiology865 STONE ST
RAHWAY, NJ 07065
(732) 381-6303
1265504062 MICHELLE YE MD
Individual
Specialist865 STONE ST
RAHWAY, NJ 07065
(732) 499-6139
1558400093 GEORGE NEUMANN CRNA
Individual
Specialist865 STONE ST
RAHWAY, NJ 07065
(732) 381-6303
1881733327 ROBERTA J FRIMPTER CRNA
Individual
Nurse Anesthetist, Certified Registered865 STONE ST
RAHWAY, NJ 07065
(732) 381-6303
1457486383 CAROL A GRANT CRNA
Individual
Specialist865 STONE ST
RAHWAY, NJ 07065
(732) 381-6303
1558486092DR. CONCEPCION DANCEL MD
Individual
Emergency Medicine865 STONE ST
RAHWAY, NJ 07065
(732) 381-4200
1124244009DR. SCOTT MERLIN M.D.
Individual
Specialist865 STONE ST DEPARTMENT OF PATHOLOGY
RAHWAY, NJ 07065
(732) 499-6139
1275706202DR. LYNN MCCOY D.O.
Individual
Emergency Medicine865 STONE ST
RAHWAY, NJ 07065
(732) 499-6100
1194961235HECTOR J SANCHEZ M D P C
Organization
Surgery865 STONE ST
RAHWAY, NJ 07065
(732) 381-4949
1265661425 LAURA TAYLOR JOHNSON PAC
Individual
Physician Assistant865 STONE ST
RAHWAY, NJ 07065
(732) 680-7911
1417284811 VIREL R PRAJAPATI PA-C
Individual
Physician Assistant865 STONE ST
RAHWAY, NJ 07065
(732) 381-4949
1326334327MS. 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.