Jamal Choudhary, MD
Individual provider Active NPI Internal Medicine Physician · Scarborough, ME
NPI 1003565128 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1003565128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD29200 (ME)
- Practice address
- 49 Spring St Ste 201
Scarborough, ME 04074-8926 - Phone
- (207) 883-3491
- Fax
- (207) 618-5026
- NPI assigned
- Mar 23, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 38
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- F H Netter, M.D. School of Med at Quinnipiac Univ, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
55 Spring St
Scarborough, ME 04074-8926
Phone (207) 303-1000
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Northern Light Mercy Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250807001243 | ME | Practitioner - Internal Medicine | 0547640286 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD29200 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Internal Medicine | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
49 Spring St
Ste 201
Scarborough, ME 04074
Phone (207) 883-3491
Interoperability endpoints
- ccopymhipambresident110671@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD29200 | ME | Yes |
Addresses
Primary practice location
49 Spring St Ste 201
Scarborough, ME 04074-8926
Mailing address
49 Spring St Ste 201
Scarborough, ME 04074-8926
Phone (207) 883-3491
Other practice location 1
22 Bramhall St
Portland, ME 04102-3175
Phone (207) 662-0111
Other providers in Scarborough, ME
- Shawna Rose Chase
- Nicole Cherbuliez
- Chiropractic Family Wellness Center
- Choices Are for Everyone, Inc.
- Choices Are for Everyone, Inc.
- Hope Chrupcala
- Colleen Clark
- Craig Y Clark
- Kate Lynn Matthews Clark
- Sheri R. Clark
All providers in Scarborough, ME · Internal Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.