Individual provider Active NPI

Mahin Choudhury, MD

  • Ophthalmology Physician
  • Liverpool, NY
National Provider Identifier
1235871708
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
342493 Issued in NY
Practice address
200 Greenfield Pkwy
Liverpool, NY 13088-6655
Phone
(315) 445-8166
NPI assigned
Apr 13, 2022
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 342493 NY Primary

Addresses

Primary practice location

200 Greenfield Pkwy
Liverpool, NY 13088-6655

Mailing address

200 Greenfield Pkwy
Liverpool, NY 13088-6655
Phone (315) 445-8166

Other practice location 1

550 Harrison St Ste L
Syracuse, NY 13202-3188
Phone (315) 464-5230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Greenfield Pkwy
Liverpool, NY 13088-6655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
342493NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina-Vitreous Surgeons of Central New York, PC Single Specialty CurrentSince Jul 1, 2026 Accepting new patients

Locations

200 Greenfield Pkwy
Liverpool, NY 13088
Phone (315) 445-8166

Interoperability endpoints

  • Direct secure messaging: mchoudhury107159@direct.upstate.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1235871708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREENFIELD PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886655",
            "telephone_number": "315-445-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GREENFIELD PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886655",
            "telephone_number": "315-445-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Harrison St Ste L",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132023188",
            "country_code": "US",
            "telephone_number": "315-464-5230",
            "fax_number": "315-464-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDHURY",
        "first_name": "MAHIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-13",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "342493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.