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ROBINA NAZ CHOWDHERY MD
NPI 1881803658
Internal Medicine - Rheumatology in Pleasant Prairie, WI

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
9697 SAINT CATHERINES DR # 400, PLEASANT PRAIRIE, WI 53158(262) 577-8300(262) 577-8748 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2020, Dec 3, 2018, Dec 28, 2017 (3 updates tracked since 2017).

About Robina Naz Chowdhery Md NPPES

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

ROBINA NAZ CHOWDHERY MD (NPI 1881803658) is an individual rheumatology provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (55729) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2005).

NPPES Registry Identity

NPI1881803658
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameROBINA NAZ CHOWDHERYCredential: MD
Location Address9697 SAINT CATHERINES DR # 400Pleasant Prairie, WI 53158-2118
Mailing Address9697 Saint Catherines Dr # 400Pleasant Prairie, WI 53158-2118 · (262) 577-8300 · Fax (262) 577-8748
Phone(262) 577-8300
Fax(262) 577-8748
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 21, 2007
Last NPPES UpdateSeptember 11, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
✔ NPI 1881803658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in WI · 55729
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
9697 SAINT CATHERINES DR # 400, Pleasant Prairie, WI 53158
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Other Identifiers 1

Medicaid1881803658WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Robina Naz Chowdhery Md 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 ID3870762420
PECOS Enrollment IDI20110816000536
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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,220 services49 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.
424 services236 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
376 services41 patients
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.
113 services59 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.
81 services70 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
55 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

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 Robina Chowdhery's NPI number?

The NPI number for Robina Chowdhery is 1881803658. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Robina Chowdhery located?

Robina Chowdhery practices at 9697 Saint Catherines Dr # 400, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8300.

What is Robina Chowdhery's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Robina Chowdhery enrolled in Medicare?

Yes. Robina Chowdhery 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.

What insurance does Robina Chowdhery accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list Robina Chowdhery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robina Chowdhery affiliated with any hospitals?

According to CMS data, Robina Chowdhery is affiliated with Froedtert South Inc. and Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Robina Chowdhery was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.