MR. SUJAN POUDEL M.D.
NPI 1003552217
Internal Medicine in Springfield, MO

Active since May 10, 2022PECOS EnrolledAccepts Medicare Assignment
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-2600 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2022, May 10, 2022 (2 updates tracked since 2022).

About Mr. Sujan Poudel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SUJAN POUDEL M.D. (NPI 1003552217) is an individual internal medicine provider in Springfield, Missouri, licensed in Missouri (2025027803) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003552217
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. SUJAN POUDELCredential: M.D.
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing Address1235 E Cherokee StSpringfield, MO 65804-2203
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2022
Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
NPI 1003552217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2025027803
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1235 E CHEROKEE ST, Springfield, MO 65804

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Sujan Poudel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294116141
PECOS Enrollment IDI20250718001883
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261316
Location500 Porter AvenueAurora, MO 65605 · Lawrence County
Emergency services Birthing friendly

Mercy St Francis Hospital

Critical Access Hospitals · Mountain View, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261335
Location100 West Highway 60, PO Box 82Mountain View, MO 65548 · Howell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Family Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sujan Poudel's NPI number?

The NPI number for Sujan Poudel is 1003552217. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Sujan Poudel located?

Sujan Poudel practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-2600.

What is Sujan Poudel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sujan Poudel enrolled in Medicare?

Yes. Sujan Poudel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sujan Poudel accept?

Health plans from Anthem Blue Cross and Blue Shield list Sujan Poudel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sujan Poudel affiliated with any hospitals?

According to CMS data, Sujan Poudel is affiliated with Mercy Hospital Lebanon, Mercy Hospital Springfield, Cox Medical Center Branson, Mercy Hospital Aurora and Mercy St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Sujan Poudel was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.