MANSOOR CHOUDHRY (DO) – Internal Medicine Physician, NPI 1649809641
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
61 GENERAL PRACTICE in MA
Provider Addresses for MANSOOR CHOUDHRY (DO)
500 CLIFTON ST
ELIZABETH, NJ 072022804
Phone:
Type: Mailing
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (508) 334-1000
Type: Location
857 MONTGOMERY AVE
PENN VALLEY, PA 190721541
Phone: (610) 664-2951
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $465.
Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Novo Nordisk Inc ($151).
Total Amount
$465
General + Research + Ownership
Payments
11
Total payment records
General Amount
$465
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $151 |
| ABBVIE INC. | $91 |
| Penumbra, Inc. | $76 |
| Janssen Pharmaceuticals, Inc | $49 |
| Merck Sharp & Dohme LLC | $34 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-17
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240726001058 | I | General Practice | DC | TBD |
| I20241102000440 | I | General Practice | VA | TBD |
| I20251217004118 | I | General Practice | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NJ | |
| Internal Medicine | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| Family Practice, Geriatric Medicine | PA | |
| Internal Medicine | PA | |
| General Practice, Geriatric Medicine | PA | |
| - | PA | |
| Nurse Practitioner | PA |
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