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TAHIR M CHAUDHRY
NPI 1992268569
Student in an Organized Health Care Education/Training Program in Manchester, CT

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
130 HARTFORD RD, MANCHESTER, CT 06040(860) 533-4673 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Apr 15, 2026, Jan 6, 2023 and 1 more (4 updates tracked since 2019).

About Tahir M Chaudhry NPPES

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

TAHIR M CHAUDHRY (NPI 1992268569) is an individual student in an organized health care education/training program in Manchester, Connecticut and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992268569
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTAHIR M CHAUDHRY
Location Address130 HARTFORD RDManchester, CT 06040-5921
Mailing Address702 Mountain Ranch RdSan Andreas, CA 95249 · (209) 754-4564
Phone(860) 533-4673
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1992268569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
130 HARTFORD RD, Manchester, CT 06040
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tahir M Chaudhry 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 ID2264802230
PECOS Enrollment IDI20230117001956
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

2

Medicare enrollment records show Tahir Chaudhry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mark Twain Medical Center
2,534 mi
Critical Access
768 MOUNTAIN RANCH RD
San Andreas, CA 95249
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1508968819 (209) 754-3521
Permanente Medical Group Inc
2,570 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

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.

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.
13 services11 patients

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.

DR. JOHN SCOTT BAROODY
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
VERONICA MARTINS PEREIRA
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
JACOB MAALOUF MD
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
DR. ERIC DAVID SASSU MD
Family Medicine
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4673
DIANE SIEH
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
KODILICHI VJ BALDINO MD
Anesthesiology
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4673
ANDREI LIEDERS
Hospitalist
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
SARAH HOWARD
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679

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 Tahir Chaudhry's NPI number?

The NPI number for Tahir Chaudhry is 1992268569. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Tahir Chaudhry located?

Tahir Chaudhry practices at 130 Hartford Rd, Manchester, CT 06040. The listed phone number is (860) 533-4673.

What is Tahir Chaudhry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tahir Chaudhry enrolled in Medicare?

Yes. Tahir Chaudhry 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.

Which organizations bill Medicare for Tahir Chaudhry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tahir Chaudhry reassigns Medicare benefits to 2 organizations: Mark Twain Medical Center (San Andreas, CA) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tahir Chaudhry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tahir Chaudhry was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.