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DR. SHILA POUDEL
NPI 1154016459
Internal Medicine in Lawrence, KS

Active since April 11, 2023PECOS Enrolled
1112 W 6TH ST STE 101, LAWRENCE, KS 66044(785) 505-5888(785) 505-5306 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2023, Apr 11, 2023 (2 updates tracked since 2023).

About Dr. Shila Poudel NPPES

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

DR. SHILA POUDEL (NPI 1154016459) is an individual internal medicine provider in Lawrence, Kansas, licensed in Kansas (04-53289) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154016459
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHILA POUDEL
Location Address1112 W 6TH ST STE 101Lawrence, KS 66044-2247
Mailing Address1112 W 6th St Ste 101Lawrence, KS 66044-2247 · (785) 505-5888 · Fax (785) 505-5306
Phone(785) 505-5888
Fax(785) 505-5306
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateJuly 3, 20262 updates tracked since enumeration
NPPES CertifiedJuly 3, 2026
✔ NPI 1154016459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 04-53289
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.
1112 W 6TH ST STE 101, Lawrence, KS 66044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Dr. Shila Poudel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shila Poudel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lawrence Physicians LLC
Same address
Undersea and Hyperbaric Medicine
1112 W 6TH ST, SUITE 109
Lawrence, KS 66044
  • Reassigned Medicare billing, Kansas enrollment
  • 281 clinicians in this Medicare group
NPI 1750798906 (785) 840-9292

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66044 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 7

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

SHERRI S. VAUGHN MD
Family Medicine
1112 W 6TH ST STE 101
LAWRENCE, KS 66044
Douglas County (785) 505-5888
KELLEY SIVITS RN
Registered Nurse
1112 W 6TH ST STE 101
LAWRENCE, KS 66044
Douglas County (785) 505-5888
DR. WALTER N INGRAM M.D.
Internal Medicine
1112 W 6TH ST STE 101
LAWRENCE, KS 66044
Douglas County (785) 505-5888
JAMES PHILIP HOFFMANN M.D.
Internal Medicine (Gastroenterology)
1112 W 6TH ST STE 101
LAWRENCE, KS 66044
Douglas County (785) 505-5888
MATTHEW BIHLMAIER D.O./M.B.A.
Internal Medicine
1112 W 6TH ST STE 101
LAWRENCE, KS 66044
Douglas County (785) 505-5888
DR. WALTER P FARRELL MD
Internal Medicine
1112 W 6TH ST STE 101
LAWRENCE, KS 66044
Douglas County (785) 505-5888
JENNIFER RAE DIXON APRN
Nurse Practitioner (Family)
1112 W 6TH ST STE 101
LAWRENCE, KS 66044
Douglas County (785) 505-5888

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 Shila Poudel's NPI number?

The NPI number for Shila Poudel is 1154016459. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Shila Poudel located?

Shila Poudel practices at 1112 W 6th St Ste 101, Lawrence, KS 66044. The listed phone number is (785) 505-5888.

What is Shila Poudel's specialty?

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

Is Shila Poudel enrolled in Medicare?

Yes. Shila Poudel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shila Poudel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shila Poudel reassigns Medicare benefits to Lawrence Physicians LLC (Lawrence, KS). 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 Shila Poudel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shila Poudel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City and 2 other insurers list Shila 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.

When was this NPI record last updated?

The NPPES record for Shila Poudel was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.