Omar Choudhury, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301512388 Issued in MI

Practice address

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone

(313) 916-2585

Fax

(313) 916-3014

NPI assigned

Jul 28, 2020

Reactivated

Dec 22, 2021

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MN, ND3 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

Neurology

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

United Neuroscience IncGroup PAC ID 3678872421, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
• Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
• Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
• Essentia Health Hospital, Fargo, ND, CCN 350070
• Essentia Health St Mary's Medical Center Hospital, Duluth, MN, CCN 240002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ochoudhury654545@direct.hfhs.org

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.

• Kern County Hospital Authority

  dba Kern Medical Center

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538
  Medicare reassignment Care Compare group NPD
• The Duluth Clinic LTD

  dba Essentia Health Cloquet Clinic

  • Multi-Specialty Clinic/Center
  • Cloquet, MN
  • NPI 1902563638
  Medicare reassignment Care Compare group NPD
• United Neuroscience, Inc

  dba United Neuroscience Institute and Stroke Center of Bakersfield and G.K

  • Neurology Physician
  • Bakersfield, CA
  • NPI 1497128557
  Medicare reassignment Care Compare group NPD
• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Medicare reassignment Care Compare group
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376960005
  NPD
• The Duluth Clinic LTD

  dba Essentia Health Wellness Clinic Hermantown

  • Multi-Specialty Clinic/Center
  • Hermantown, MN
  • NPI 1003478892
  NPD
• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD

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

• Bakersfield Memorial Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1467538520
  Care Compare affiliation
• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  Care Compare affiliation
• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Care Compare affiliation
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Care Compare affiliation
• St Marys Medical Center

  dba Essentia Health St Marys Medical Center

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1457393035
  Care Compare affiliation
• St. Marys Medical Center

  dba SMMC Life Flight

  • Air Ambulance
  • Duluth, MN
  • NPI 1841359478

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1912516790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD HENRY FORD HOSPITAL",
            "address_2": "DEPARTMENT OF NEUROLOGY, K-11",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48202",
            "telephone_number": "313-282-7357",
            "fax_number": "313-916-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-2585",
            "fax_number": "313-916-3014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDHURY",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "deactivation_date": "2021-10-20",
        "reactivation_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "79401",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301512388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irfan Choudhry, D.O.
• Zain Choudhry, MD
• Eshrar Choudhury
• Moumita Saha Roy Choudhury, MD
• Mustafizur Choudhury, D.O.
• Marzia Rahman Chowdhry
• Susmita Chowdhuri, M.D.
• Arpita Chowdhury
• Jarin Chowdhury
• Nabil Mowla Chowdhury, DO

• Neurology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.