DR. POORNIMA UPADHYAYA PANDELLAPALLI M.D.
NPI 1205933850
Internal Medicine - Medical Oncology in Washington, DC

Active since September 17, 2006PECOS EnrolledAccepts Medicare Assignment
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037(202) 677-6038 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2021, Apr 13, 2021, Nov 17, 2020 and 1 more (4 updates tracked since 2015).

About Dr. Poornima Upadhyaya Pandellapalli M.d. NPPES

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

DR. POORNIMA UPADHYAYA PANDELLAPALLI M.D. (NPI 1205933850) is an individual medical oncology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD037507) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205933850
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. POORNIMA UPADHYAYA PANDELLAPALLICredential: M.D.
Location Address2150 PENNSYLVANIA AVE NWWashington, DC 20037-3201
Mailing Address10204 Colvin Run RdGreat Falls, VA 22066-1830 · (703) 629-1212
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 17, 2006
Last NPPES UpdateApril 27, 20214 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1205933850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in DC · MD037507
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.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 0101243810 (VA), 036167795 (IL)
2150 PENNSYLVANIA AVE NW, Washington, DC 20037

Other Names 1

Former Name (1)Dr. Poornima Upadhyaya M.d.

Secondary Practice Locations 2

Location 18101 Hinson Farm Rd, Ste 211Alexandria, VA 22306-3403 · Phone (703) 780-2216 · Fax (703) 780-9457
Location 24117 Veterans Memorial DrMount Vernon, IL 62864-6262 · Phone (618) 244-6500

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

Dr. Poornima Upadhyaya Pandellapalli 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 ID8224129655
PECOS Enrollment IDI20150512002975, I20260129001410
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

11

Medicare enrollment records show Poornima Pandellapalli reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2041 GEORGIA AVE NW
Washington, DC 20060
  • Reassigned Medicare billing, District of Columbia enrollment
  • 319 clinicians in this Medicare group
Emergency Medical Services
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Whc Physician Group LLC
  • 613 clinicians in this Medicare group
Family Medicine
52 WATER ST
Thurmont, MD 21788
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
Family Medicine
56 JAM HOUSE RD
Mifflin, PA 17058
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
Neurology
140 NUTT RD
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 529 clinicians in this Medicare group
Hematology & Oncology
1600 E HIGH ST
Pottstown, PA 19464
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 30 clinicians in this Medicare group
Hematology & Oncology
1100 GRAMPIAN BLVD
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 31 clinicians in this Medicare group
Family Medicine
1324 N SHERIDAN RD
Waukegan, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
Specialist
2520 ELISHA AVE
Zion, IL 60099
  • Reassigned Medicare billing, Illinois enrollment
  • 253 clinicians in this Medicare group
Internal Medicine
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 296 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 3

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.
53 services32 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.
20 services19 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Internal Medicine
2150 PENNSYLVANIA AVE NW, SUITE 5-416
WASHINGTON, DC 20037
Obstetrics & Gynecology (Obstetrics)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Hematology & Oncology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Rheumatology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

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 Poornima Pandellapalli's NPI number?

The NPI number for Poornima Pandellapalli is 1205933850. It was assigned to this individual provider in the NPPES registry on September 17, 2006. The provider is also known as Dr. Poornima Upadhyaya M.D..

Where is Poornima Pandellapalli located?

Poornima Pandellapalli practices at 2150 Pennsylvania Ave NW, Washington, DC 20037. The listed phone number is (202) 677-6038.

What is Poornima Pandellapalli's specialty?

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

Is Poornima Pandellapalli enrolled in Medicare?

Yes. Poornima Pandellapalli 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 Poornima Pandellapalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poornima Pandellapalli reassigns Medicare benefits to 11 organizations: Howard University (Washington, DC), Whc Emerg Phys (Washington, DC), Wellspan Medical Group (Thurmont, MD), Geisinger Clinic (Mifflin, PA), Phoenixville Clinic Company LLC (Phoenixville, PA) and 6 more organizations, listed in the Medicare section above. 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 Poornima Pandellapalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Poornima Pandellapalli accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Poornima Pandellapalli 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 Poornima Pandellapalli affiliated with any hospitals?

According to CMS data, Poornima Pandellapalli is affiliated with Good Samaritan Regional Hlth Center and Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Poornima Pandellapalli was last updated on April 27, 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.