MANSOOR CHOUDHRY DO
NPI 1649809641
General Practice in Penn Valley, PA

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
857 MONTGOMERY AVE, PENN VALLEY, PA 19072(312) 766-4949(610) 664-2951 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Dec 12, 2025, Dec 31, 2024 and 2 more (5 updates tracked since 2020).

About Mansoor Choudhry Do NPPES

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

MANSOOR CHOUDHRY DO (NPI 1649809641) is an individual general practice provider in Penn Valley, Pennsylvania, licensed in Pennsylvania (OS025538) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2020).

NPPES Registry Identity

NPI1649809641
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMANSOOR CHOUDHRYCredential: DO
Location Address857 MONTGOMERY AVEPenn Valley, PA 19072-1541
Mailing Address857 Montgomery AvePenn Valley, PA 19072-1541 · (610) 664-2951
Fax(610) 664-2951
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateMarch 25, 20265 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1649809641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PA · OS025538
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
857 MONTGOMERY AVE, Penn Valley, PA 19072

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mansoor Choudhry Do 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 ID2264851054
PECOS Enrollment IDI20251217004118
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Internal Medicine
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Internal Medicine
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Nurse Practitioner (Gerontology)
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Family Medicine (Geriatric Medicine)
857 MONTGOMERY AVE
NARBERTH, PA 19072
Internal Medicine (Geriatric Medicine)
857 MONTGOMERY AVE
PENN VALLEY, PA 19072
Family Medicine (Geriatric Medicine)
857 MONTGOMERY AVE
NARBERTH, PA 19072
Family Medicine
857 MONTGOMERY AVE
NARBERTH, PA 19072

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 Mansoor Choudhry's NPI number?

The NPI number for Mansoor Choudhry is 1649809641. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Mansoor Choudhry located?

Mansoor Choudhry practices at 857 Montgomery Ave, Penn Valley, PA 19072. The listed phone number is (312) 766-4949.

What is Mansoor Choudhry's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mansoor Choudhry enrolled in Medicare?

Yes. Mansoor Choudhry 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.

When was this NPI record last updated?

The NPPES record for Mansoor Choudhry was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.