Indrajit Choudhuri (NPI# 1467621110, PAC ID# 9931270899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1467621110 |
| PAC ID by PECOS | 9931270899 |
| Professional Enrollment ID | I20080619000712 |
| Full Name | Indrajit Choudhuri |
| Address |
6121 Green Bay Rd Suite 100 Kenosha WI 53142-2931 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520021 | UNITED HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 | ||
| 6308 8th Ave, Kenosha, WI 53143-5031 | 2626535300 | FROEDTERT SOUTH INC |
| 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2625778300 | FROEDTERT SOUTH INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 52% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 42% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 95% |
| Street Address |
6121 GREEN BAY RD SUITE 100 |
| City | KENOSHA |
| State | WI |
| Zip | 53142-2931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Merritt | Physician Assistant | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Jennifer R Sarafin | Clinical Social Worker | Fleming Psychological Services Sc | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2929 |
| Ann M Fleming | Clinical Social Worker | Fleming Psychological Services Sc | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2929 |
| Maureen E Goines | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Billie A Lawler | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Renee K Remington | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Jawaid Quddus | Family Medicine | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Debra M Johansen-goh | Psychologist, Clinical | Fleming Psychological Services Sc | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2929 |
| Kelly Lynn Riffel | Nurse Practitioner | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Leon Besthoff Rosen | Cardiovascular Disease (cardiology) | Zenith Healthcare Sc | 6121 Green Bay Rd, Suite 100, Kenosha, WI 53142-2931 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall J Hammett | Chiropractic | 6500 67th St, Kenosha, WI 53142-1403 | |
| Laurie Sasso | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6300 67th St, Kenosha, WI 53142-1437 |
| Rodrigo B Mata Iii | Internal Medicine | 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 | |
| Nancy Guadagno | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Shellie Kaye Babcock | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Chad E Sloden | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Nicholas Joseph Hollendonner | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Pushparanee Babusukumar | Psychiatry | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Tom A Defrancesco | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Donna J Hayes | Podiatry | 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928 | |
| Find all physicians in zip 53142 | |||
| City | KENOSHA |
| Zip Code | 53142 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | KENOSHA + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Indrajit Choudhuri.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.