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PRADEEP POONNEN MD
NPI 1184035297
Internal Medicine - Medical Oncology in Durham, NC

Active since May 12, 2014PECOS Enrolled
508 FULTON ST, DURHAM, NC 27705(919) 286-0411 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pradeep Poonnen Md NPPES

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

PRADEEP POONNEN MD (NPI 1184035297) is an individual medical oncology provider in Durham, North Carolina, licensed in North Carolina (2020-00674) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1184035297
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NamePRADEEP POONNENCredential: MD
Location Address508 FULTON STDurham, NC 27705-3875
Mailing Address5042 Gable Ridge DrDurham, NC 27713-7155 · (919) 360-6677
Phone(919) 286-0411
Sole ProprietorYes
Enumeration DateMay 12, 2014
Last NPPES UpdateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1184035297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NC · 2020-00674
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
508 FULTON ST, Durham, NC 27705
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Secondary Practice Location 1

Location 11500 E Medical Center Dr, 3116 Taubman Center, SPC 5368Ann Arbor, MI 48109-5000 · Phone (734) 844-5400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pradeep Poonnen Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

MISS NANCY CAROL LEE LCSW-P, CMSW, MHA
Social Worker (Clinical)
508 FULTON ST, SOCIAL WORK SERVICE (122)
DURHAM, NC 27705
Durham County (919) 286-0411
MS. GWEN ELIZABETH MADILL LCSW
Social Worker (Clinical)
508 FULTON ST, SOCIAL WORK SERVICE
DURHAM, NC 27705
Durham County (919) 286-0411
DYLAN PRIDE HARRIS
Dietitian, Registered
508 FULTON ST
DURHAM, NC 27705
Durham County (919) 286-0411
MELISSA RAKU DAVIS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
508 FULTON ST
DURHAM, NC 27705
Durham County (720) 628-6224
HILARY D BUCHANAN
Registered Nurse
508 FULTON ST
DURHAM, NC 27705
Durham County (919) 286-0411
MS. RENEE MICHELLE MCCLELLAND AU.D.
Audiologist
508 FULTON ST, ASPS - 126
DURHAM, NC 27705
Durham County (919) 286-6961
DR. DEBORAH ANNE FISHER M.D.
Internal Medicine (Gastroenterology)
508 FULTON ST
DURHAM, NC 27705
Durham County (919) 286-6945
DR. CHRISTOPHER WILDRICK WOODS MD, MPH
Internal Medicine (Infectious Disease)
508 FULTON ST, DURHAM VAMC
DURHAM, NC 27705
Durham County (919) 286-0411

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 Pradeep Poonnen's NPI number?

The NPI number for Pradeep Poonnen is 1184035297. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Pradeep Poonnen located?

Pradeep Poonnen practices at 508 Fulton St, Durham, NC 27705. The listed phone number is (919) 286-0411.

What is Pradeep Poonnen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Pradeep Poonnen enrolled in Medicare?

Yes. Pradeep Poonnen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pradeep Poonnen was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.