Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MOONYOUNG CHOI MD
NPI 1043967672
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 03, 2022PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-3155(508) 334-4296 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, Aug 6, 2025, Dec 27, 2022 and 2 more (5 updates tracked since 2022).

About Dr. Moonyoung Choi Md NPPES

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

DR. MOONYOUNG CHOI MD (NPI 1043967672) is an individual student in an organized health care education/training program in Worcester, Massachusetts, licensed in Massachusetts (1024162) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043967672
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MOONYOUNG CHOICredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-3155
Fax(508) 334-4296
Sole ProprietorNo
Enumeration DateMarch 3, 2022
Last NPPES UpdateAugust 13, 20265 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1043967672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MA · 1024162
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.
55 LAKE AVE N, Worcester, MA 01655

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Moonyoung Choi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Moonyoung Choi's NPI number?

The NPI number for Moonyoung Choi is 1043967672. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Moonyoung Choi located?

Moonyoung Choi practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3155.

What is Moonyoung Choi's specialty?

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

Is Moonyoung Choi enrolled in Medicare?

Yes. Moonyoung Choi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Moonyoung Choi was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.