DR. RIZVON CHAUDHARY MD
NPI 1255365466
Internal Medicine - Nephrology in Pikeville, KY
NPI Status: Active since July 11, 2006
Contact Information
911 BYPASS RD
2ND FLOOR CLINIC
PIKEVILLE, KY
ZIP 41501
Phone: (606) 218-3500
Fax: (606) 218-4562
- Individual
- Male
- Years of Experience 34
- Internal Medicine
- Nephrology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About RIZVON CHAUDHARY
This page provides the complete NPI Profile along with additional information for Rizvon Chaudhary, an internist established in Pikeville, Kentucky with a medical specialization in Internal Medicine, focusing in nephrology and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1255365466 assigned on July 2006. The practitioner's primary taxonomy code is 207RN0300X with license number 47094 (KY). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1255365466
- Provider Name
- DR. RIZVON CHAUDHARY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 911 BYPASS RD 2ND FLOOR CLINIC PIKEVILLE, KY 41501
- Location Phone
- (606) 218-3500
- Location Fax
- (606) 218-4562
- Mailing Address
- PO BOX 2917 PIKEVILLE, KY 41502
- Mailing Phone
- (606) 218-3500
- Mailing Fax
- (606) 218-4562
- Medical School Name
- OTHER
- Graduation Year
- 1992
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-11-2006
- Last Update Date
- 06-20-2025
- Code Navigator
An internist like Rizvon Chaudhary 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.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 47094
- License State
- KY
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 036162823 (IL) |
| 2 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 2022049037 (MO) |
| 3 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 2538-320 (WI) |
| 4 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 01075602A (IN) |
| 5 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 67332 (TN) |
| 6 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 35.124500 (OH) |
| 7 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 4301063106 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100293160 | MEDICAID (05) | KY |
Medicare Participation & PECOS Enrollment Status
Rizvon Chaudhary is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Rizvon Chaudhary 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2365444106
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140616002456
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.69 for a new patient copayment and $23.48 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 41501 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.77
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $30.69
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.94
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $23.48
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Medical Attention for Nephropathy | 98% | 55 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 97% | 410 |
| 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 | ||
| Engage Patients and Families to Guide Improvement in the System of Care | Yes | N/A |
| Engage patients and families to guide improvement in the system of care by leveraging digital tools for ongoing guidance and assessments outside the encounter, including the collection and use of patient data for return-to-work and patient quality of life improvement. Platforms and devices that collect patient-generated health data (PGHD) must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient, including patient reported outcomes (PROs). Examples include patient engagement and outcomes tracking platforms, cellular or web-enabled bi-directional systems, and other devices that transmit clinically valid objective and subjective data back to care teams. Because many consumer-grade devices capture PGHD (for example, wellness devices), platforms or devices eligible for this improvement activity must be, at a minimum, endorsed and offered clinically by care teams to patients to automatically send ongoing guidance (one way). Platforms and devices that additionally collect PGHD must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient (e.g. automated patient-facing instructions based on glucometer readings). Therefore, unlike passive platforms or devices that may collect but do not transmit PGHD in real or near-real time to clinical care teams, active devices and platforms can inform the patient or the clinical care team in a timely manner of important parameters regarding a patient’s status, adherence, comprehension, and indicators of clinical concern. | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| e-Prescribing | 57% | 74 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Medication Reconciliation | 92% | 106 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 97% | 103 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
| Provide Patient Access | 98% | 87 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Rizvon Chaudhary is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| PIKEVILLE MEDICAL CENTER | 911 BYPASS ROAD PIKEVILLE, KY 41501 | (606) 430-3500 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step 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. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 6 | 5 | 4 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 6 | 10 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 6 + 1 + 0 + 4 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1255365466 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1992700173 | CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KENTUCKY, INC. Organization | Ambulance (Air Transport) | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-4602 |
| 1659372142 | JAMES L CATHELYN JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1285621623 | PIKEVILLE MEDICAL CENTER INC Organization | General Acute Care Hospital | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1538143664 | DAMIEN M JENSEN MD Individual | Neurological Surgery | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3925 |
| 1740234335 | JAMES R POLIQUIN M.D. Individual | Surgery (Vascular Surgery) | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-4530 |
| 1255378402 | ALFRED BRADLEY ADKINS PHD Individual | Psychologist (Clinical) | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1396785697 | MARY JO RATLIFF M.D. Individual | Anesthesiology | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1689617078 | WILLIAM CORDERO M.D. Individual | Anesthesiology | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1245265289 | SONYA PARSONS CRNA Individual | Nurse Anesthetist, Certified Registered | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1063430247 | SANDRA PERRY CRNA Individual | Nurse Anesthetist, Certified Registered | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1528086790 | WAYNE RICHARDS CRNA Individual | Nurse Anesthetist, Certified Registered | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1972521722 | JEFFERY DARRELL CLARK CRNA Individual | Nurse Anesthetist, Certified Registered | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1033138003 | ANGELA MOORE CRNA Individual | Nurse Anesthetist, Certified Registered | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1174634661 | WILLIAM M JOHNSON MD Individual | Internal Medicine | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-4506 |
| 1457433435 | PIKEVILLE MEDICAL CENTER INC Organization | Rehabilitation Hospital | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1003958513 | SELINA A. HOLLEY DIETITIAN Individual | Dietitian, Registered | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1609996586 | MRS. MITZI BATES THACKER ARNP BC Individual | Nurse Practitioner (Family) | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1821298050 | MONICA LOUISE OWENS MS, RD, LD Individual | Dietitian, Registered | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1720277643 | PIKEVILLE MEDICAL CENTER INC Organization | Early Intervention Provider Agency | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
| 1306005285 | VICTOR BORISSOV LOSSEV M.D. Individual | Hospitalist | 911 BYPASS RD PIKEVILLE, KY 41501 (606) 218-3500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255365466, enumerated in the NPI registry as an "individual" on July 11, 2006
The provider is located at 911 Bypass Rd 2nd Floor Clinic Pikeville, Ky 41501 and the phone number is (606) 218-3500
The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology
The provider has more than 34 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
Medicare beneficiaries should expect a typical cost of $122.77 with an average copayment of $30.69 for new patient appointments. Established patients should expect a typical charge of $93.94 and an average copayment of 23.48. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): PIKEVILLE MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.