POOJA PUNDHIR
NPI 1184027815
Hospitalist in Houston, TX

Active since October 08, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
921 GESSNER RD RM 317, HOUSTON, TX 77024(713) 242-3768 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pooja Pundhir NPPES

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

POOJA PUNDHIR (NPI 1184027815) is an individual hospitalist provider in Houston, Texas, licensed in Texas (R1442) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1184027815
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePOOJA PUNDHIR
Location Address921 GESSNER RD RM 317Houston, TX 77024-2501
Mailing Address909 Frostwood Dr Ste 1.100Houston, TX 77024-2301 · (713) 338-6353 · Fax (713) 704-3086
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 8, 2014
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
✔ NPI 1184027815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · R1442
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License R1442 (TX), TRN19475 (FL)
921 GESSNER RD RM 317, Houston, TX 77024

Accepted 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

Pooja Pundhir 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 ID446546907
PECOS Enrollment IDI20170503000362, I20240204000003
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 Reassignments

5

Medicare enrollment records show Pooja Pundhir reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
Hospitalist
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
Nutrition, Education
8290 S HOUGHTON RD STE 150
Tucson, AZ 85747
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
Internal Medicine
8 KINNAIRD ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: East Harbor Partners PC
  • 5 clinicians in this Medicare group

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%70 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Hospitalist
921 GESSNER RD RM 317
HOUSTON, TX 77024
Hospitalist
921 GESSNER RD RM 317
HOUSTON, TX 77024
Hospitalist
921 GESSNER RD RM 317
HOUSTON, TX 77024

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 Pooja Pundhir's NPI number?

The NPI number for Pooja Pundhir is 1184027815. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Where is Pooja Pundhir located?

Pooja Pundhir practices at 921 Gessner Rd Rm 317, Houston, TX 77024. The listed phone number is (713) 242-3768.

What is Pooja Pundhir's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pooja Pundhir enrolled in Medicare?

Yes. Pooja Pundhir 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 organizations bill Medicare for Pooja Pundhir's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Pundhir reassigns Medicare benefits to 5 organizations: Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Lonestar Pat Associates PA (Round Rock, TX), Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX), Banner-University Medical Group (Tucson, AZ) and East Harbor Partners, P.C. (Cambridge, MA). Each 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 Pooja Pundhir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Pundhir accept?

Health plans from Blue Cross and Blue Shield of Texas list Pooja Pundhir 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 Pooja Pundhir affiliated with any hospitals?

According to CMS data, Pooja Pundhir is affiliated with St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Pooja Pundhir was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.