MOONTAHA AHMED CHOUDHURY (OD) – Optometrist, NPI 1366067563

MOONTAHA AHMED CHOUDHURY (OD) is a healthcare provider. based in Astoria, New York. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. TUV009121 (NY). The NPI Number for MOONTAHA AHMED CHOUDHURY (OD) is 1366067563

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MOONTAHA AHMED CHOUDHURY (OD)
NPI
1366067563
Phone
Not provided
Address
3068 35TH ST
Enumeration Date
12 June 2020
Last Update Date
27 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7184099400
Graduation Year
2020 (6 years ago)
PAC ID
1052721974
Group Practice PAC ID
0941271720
Professional Enrollment ID
I20201104002548
Address ID
NY104613240BR2590XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,977 OPTOMETRY in NY

Provider Addresses for MOONTAHA AHMED CHOUDHURY (OD)

  • 3068 35TH ST

    ASTORIA, NY 111034702

    Phone:

    Type: Mailing

  • 432 E 149TH ST

    BRONX, NY 104551343

    Phone: (718) 673-9337

    Type: Location

  • 11036 65TH AVE

    FOREST HILLS, NY 113751422

    Phone:

    Type: Mailing

  • 2590 FRISBY AVE

    BRONX, NY 104613240

    Phone: (718) 409-9400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $544.

Total Amount is formed as General ($544) + Research ($0) + Ownership ($0) = $544.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($210).

Total Amount

$544

General + Research + Ownership

Payments

26

Total payment records

General Amount

$544

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201104002548IOptometryNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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 11103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941271720View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YNY
Physician AssistantNY
O P T O M E T R YNY
-NY

Reviews

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Frequently asked questions

How do I look up MOONTAHA AHMED CHOUDHURY (OD) by NPI?
Use NPI 1366067563 when you need to reference MOONTAHA AHMED CHOUDHURY (OD) in forms, claims, or directories.
Does this profile mean MOONTAHA AHMED CHOUDHURY (OD) is currently active?
Yes — MOONTAHA AHMED CHOUDHURY (OD) appears active in the national provider directory.
Does MOONTAHA AHMED CHOUDHURY (OD) list a primary specialty?
If you are matching referrals, note Optometrist for MOONTAHA AHMED CHOUDHURY (OD). Clinical services aligned with this taxonomy classification.
Where does public data place MOONTAHA AHMED CHOUDHURY (OD)?
The snapshot lists Astoria, New York for MOONTAHA AHMED CHOUDHURY (OD); download NPPES for the complete set.
Is MOONTAHA AHMED CHOUDHURY (OD) a real provider?
This page reflects official NPPES data for NPI 1366067563. Always confirm identity and privileges with the practice and licensing boards.

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