Bassam Tahir Choudhry, MD, MPH - Medicare Critical Care (intensivists) in Derby, CT

Bassam Tahir Choudhry, MD, MPH is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Derby, Connecticut. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Banner Hospital Based Physicians Arizona Llc and his current practice location is 130 Division St, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 732-7327.

Bassam Tahir Choudhry is licensed to practice in Alabama (license number MD.38735) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477833028.

Contact Information

Bassam Tahir Choudhry, MD, MPH
130 Division St,
Derby, CT 06418-1326
(203) 732-7327
Not Available



Physician's Profile

Full NameBassam Tahir Choudhry
GenderMale
SpecialityCritical Care (intensivists)
Experience14 Years
Location130 Division St, Derby, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bassam Tahir Choudhry graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1477833028
  • Provider Enumeration Date: 08/26/2011
  • Last Update Date: 08/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7810247772
  • Enrollment ID: I20220321001268

Medical Identifiers

Medical identifiers for Bassam Tahir Choudhry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477833028NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease MD.38735 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Thunderbird Medical CenterGlendale, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Hospital Based Physicians Arizona Llc3274782487398

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bassam Tahir Choudhry allows following entities to bill medicare on his behalf.
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bassam Tahir Choudhry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bassam Tahir Choudhry, MD, MPH
Po Box 11407, Dept# 5839,
Birmingham, AL 35660-5839

Ph: (256) 320-5019
Bassam Tahir Choudhry, MD, MPH
130 Division St,
Derby, CT 06418-1326

Ph: (203) 732-7327

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Internal Medicine Doctors in Derby, CT

Genevieve Cecile Kela, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7327    
Dr. Gerald George Fette, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    Fax: 203-732-1332
Dr. Howard Quentzel, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7439    Fax: 203-732-1425
Mukesh Kumar, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    Fax: 203-732-1332
Earl Lewin Baker, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division Street, Derby, CT 06418
Phone: 203-735-7421    
Aartee Deshpande, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    
Mark S Grogan, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division Street, Derby, CT 06418
Phone: 203-732-7455    Fax: 203-735-5507

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