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DR. PIYUSH PODDAR M.D.
NPI 1104132554
Internal Medicine in Cleveland, OH

Active since August 24, 2010PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
9500 EUCLID AVENUE, A50, CLEVELAND, OH 44195(216) 444-5627(216) 445-7569 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Piyush Poddar M.d. NPPES

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

DR. PIYUSH PODDAR M.D. (NPI 1104132554) is an individual internal medicine provider in Cleveland, Ohio, licensed in Florida (TRN15225) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1104132554
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PIYUSH PODDARCredential: M.D.
Location Address9500 EUCLID AVENUE, A50Cleveland, OH 44195
Mailing Address9500 Euclid Avenue, A50Cleveland, OH 44195 · (860) 985-7489
Phone(216) 444-5627
Fax(216) 445-7569
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 24, 2010
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1104132554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · TRN15225
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.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 57.022470 (OH)
9500 EUCLID AVENUE, Cleveland, OH 44195
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Piyush Poddar 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 ID4486963550
PECOS Enrollment IDI20231214000279
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.

Medicare Billing Reassignment

Medicare enrollment records show Piyush Poddar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Iowa Regional Medical Center, Inc.
498 mi
Family Planning, Non-Surgical
801 S ROOSEVELT AVE STE C
Burlington, IA 52601
  • Reassigned Medicare billing, Iowa enrollment
  • 253 clinicians in this Medicare group
NPI 1962077230 (319) 768-1225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
308 services149 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
170 services118 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
94 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services50 patients

Hospital Affiliations CMS Care Compare 3

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

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.

MS. LAURA RHODES NP
Nurse Practitioner (Acute Care)
9500 EUCLID AVENUE
CLEVELAND, OH 44195
Cuyahoga County (216) 445-8878
DR. BRIAN THOMAS HILL M.D., PH.D.
Internal Medicine (Hematology & Oncology)
9500 EUCLID AVENUE, TAUSSIG CANCER CENTER -R35 - CLEVELAND CLINIC
CLEVELAND, OH 44195
Cuyahoga County (216) 445-9451
ELIZABETH ANN KHACHERIAN FNP-C
Nurse Practitioner (Adult Health)
9500 EUCLID AVENUE
CLEVELAND, OH 44195
Cuyahoga County (216) 986-4000
DR. MADIHA SYED M.B.B.S/ MD
Anesthesiology (Critical Care Medicine)
9500 EUCLID AVENUE
CLEVELAND, OH 44195
Cuyahoga County (501) 687-7057
DR. SARAH MARIE FERRI MD
Pediatrics (Pediatric Hematology-Oncology)
9500 EUCLID AVENUE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5517
BRUNO LIEBL
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVENUE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
RUCHI YADAV MD
Radiology (Diagnostic Radiology)
9500 EUCLID AVENUE, CLEVELAND CLINIC
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5690
SETH MICHAEL MEADE MD, MS
Neurological Surgery
9500 EUCLID AVENUE, S-40
CLEVELAND, OH 44195
Cuyahoga County (908) 752-3466

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 Piyush Poddar's NPI number?

The NPI number for Piyush Poddar is 1104132554. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Piyush Poddar located?

Piyush Poddar practices at 9500 Euclid Avenue A50, Cleveland, OH 44195. The listed phone number is (216) 444-5627.

What is Piyush Poddar's specialty?

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

Is Piyush Poddar enrolled in Medicare?

Yes. Piyush Poddar 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.

Which organization bills Medicare for Piyush Poddar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Piyush Poddar reassigns Medicare benefits to Southeast Iowa Regional Medical Center, Inc. (Burlington, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Piyush Poddar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Piyush Poddar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Blue Cross Blue Shield of North Dakota and 1 other insurer list Piyush Poddar 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 Piyush Poddar affiliated with any hospitals?

According to CMS data, Piyush Poddar is affiliated with Southeast Iowa Regional Medical Center, Henry County Health Center and Sanford Medical Center Bismarck.

When was this NPI record last updated?

The NPPES record for Piyush Poddar was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.