MANSOOR CHOUDHRY DO
NPI 1649809641
General Practice in Penn Valley, PA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mansoor Choudhry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Narberth, PA 19072
- Reassigned Medicare billing, Pennsylvania enrollment
- 17 clinicians in this Medicare group
Woodbridge, VA 22193
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PENN VALLEY, PA 19072
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.
Which organizations bill Medicare for Mansoor Choudhry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mansoor Choudhry reassigns Medicare benefits to 2 organizations: Main Line Medical Group Ltd (Narberth, PA) and Millenium Medical Corp (Woodbridge, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mansoor Choudhry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 7 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.
# Mansoor Choudhry, DO · NPI 1649809641
General Practice physician in Penn Valley, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1649809641 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** OS025538 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 857 MONTGOMERY AVE, Penn Valley, PA 19072-1541
- **Phone:** (312) 766-4949 · **Fax:** (610) 664-2951
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Main Line Medical Group Ltd (NPI 1760415913, Narberth, PA); Millenium Medical Corp (NPI 1740443183, Woodbridge, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Nova Southeastern College Of Osteo Medicine, class of 2020
## Record status
- **NPPES last updated:** March 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649809641) · Data from the CMS NPPES public registry.