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DR. POOJA KUMARI MD
NPI 1194131342
Internal Medicine - Rheumatology in Huntersville, NC

Active since July 09, 2014PECOS EnrolledAccepts Medicare Assignment
9920 KINCEY AVE STE 200, HUNTERSVILLE, NC 28078(980) 302-8170 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2025, Oct 5, 2023, Jul 12, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Pooja Kumari Md NPPES

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

DR. POOJA KUMARI MD (NPI 1194131342) is an individual rheumatology provider in Huntersville, North Carolina, licensed in North Carolina (202401656) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194131342
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. POOJA KUMARICredential: MD
Location Address9920 KINCEY AVE STE 200Huntersville, NC 28078-2400
Mailing Address1671 Spears Dr NwConcord, NC 28027-8763 · (908) 764-3392
Phone(980) 302-8170
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 9, 2014
Last NPPES UpdateJanuary 6, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1194131342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in NC · 202401656✔ Licensed in TX · T1131
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 52000 (SC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9920 KINCEY AVE STE 200, Huntersville, NC 28078
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Secondary Practice Locations 3

Location 12020 Proximity Dr Apt 307Charleston, SC 29414-7940 · Phone (908) 764-3392
Location 2425 N Highland Ave Ste 200Sherman, TX 75092-7383 · Phone (903) 508-4230 · Fax (903) 553-4388
Location 3University Of Tennessee 920 Madison Avenue Suite 447Memphis, TN 38163 · Phone (901) 448-6605

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Cigna Healthcare.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. Pooja Kumari Md 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 ID1254641822
PECOS Enrollment IDI20240910000661
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

2

Medicare enrollment records show Pooja Kumari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Endocrinology, Diabetes & Metabolism
9920 KINCEY AVE STE 120
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1710715479 (704) 316-6360
The Presbyterian Hospital
0.1 mi
Cardiovascular Disease
9930 KINCEY AVE STE 200
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
NPI 1053655647 (704) 887-4530

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 7

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 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.
305 services162 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
82 services82 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
58 services17 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
42 services12 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
39 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

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 Kumari's NPI number?

The NPI number for Pooja Kumari is 1194131342. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Pooja Kumari located?

Pooja Kumari practices at 9920 Kincey Ave Ste 200, Huntersville, NC 28078. The listed phone number is (980) 302-8170.

What is Pooja Kumari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Pooja Kumari enrolled in Medicare?

Yes. Pooja Kumari 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 Kumari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Kumari reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Huntersville, NC) and The Presbyterian Hospital (Huntersville, NC). 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 Kumari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Kumari accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and Cigna Healthcare list Pooja Kumari 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 Kumari affiliated with any hospitals?

According to CMS data, Pooja Kumari is affiliated with Novant Health Rowan Medical Center, Novant Health Presbyterian Medical Center and Novant Health Huntersville Medical Center.

When was this NPI record last updated?

The NPPES record for Pooja Kumari was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.