Mansoor Choudhry, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS025538 Issued in PA

Practice address

857 Montgomery Ave
Penn Valley, PA 19072-1541

Phone

(312) 766-4949

Fax

(610) 664-2951

NPI assigned

Apr 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA, PA3 enrollments

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.

Enrollment records 3

Specialty

General Practice

Education

Nova Southeastern College of Osteo Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Line Medical Group LTDGroup PAC ID 9830003599, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Constellation Hospice PA, LLC Hospice, Newtown, PA, CCN 391770
• Horsham Center for Jewish Life Nursing home, North Wales, PA, CCN 396078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Main Line Medical Group LTD

  • Family Medicine Physician
  • Narberth, PA
  • NPI 1760415913
  Medicare reassignment Care Compare group NPD
• Millenium Medical Corp

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1740443183

  DC, Internal Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 1425 Horsham SNF Operations LLC

  • Skilled Nursing Facility
  • North Wales, PA
  • NPI 1932727591

  Nursing home

  Care Compare affiliation
• Constellation Hospice PA, LLC

  • Community Based Hospice Care Agency
  • Newtown, PA
  • NPI 1407335706
  Care Compare affiliation

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1649809641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVE",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721541",
            "telephone_number": "610-664-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVE",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721541",
            "telephone_number": "312-766-4949",
            "fax_number": "610-664-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "MANSOOR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS025538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Bradley, M.D.
• Kenneth E Brumberger, M.D.
• Buch Medical Corp
• Linda M. Bullock, DO
• Leah Charlson, OTR/L
• Jensen Crawford
• Jenna Crowley
• Cummings and Tannenbaum Associates, Inc.
• Robert H. Diamond, MD
• Annora Dirsa

• General Practice Physician in Penn Valley, PA
• Providers in Penn Valley, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.