PRIMA POUDEL M.D.
NPI 1235446436
Internal Medicine in Fredericksburg, VA
About Prima Poudel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMA POUDEL M.D. (NPI 1235446436) is an individual internal medicine provider in Fredericksburg, Virginia, licensed in Virginia (0101290282) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prima Poudel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Prima Poudel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fredericksburg, VA 22401
- Reassigned Medicare billing, Virginia enrollment
- 547 clinicians in this Medicare group
Beaumont, TX 77701
- Reassigned Medicare billing, Texas enrollment
- 478 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 994 clinicians in this Medicare group
Boerne, TX 78015
- Reassigned Medicare billing, Texas enrollment
- 2,397 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
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 Prima Poudel's NPI number?
The NPI number for Prima Poudel is 1235446436. It was assigned to this individual provider in the NPPES registry on September 9, 2010.
Where is Prima Poudel located?
Prima Poudel practices at 1101 Sam Perry Blvd Ste 305, Fredericksburg, VA 22401. The listed phone number is (540) 374-3290.
What is Prima Poudel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prima Poudel enrolled in Medicare?
Yes. Prima Poudel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Prima Poudel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prima Poudel reassigns Medicare benefits to 5 organizations: Mary Washington Healthcare Physicians (Fredericksburg, VA), Sound Inpatient Physicians Of Texas I, Inc (Beaumont, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX) and University Of Texas Health Science Center At San Antonio (Boerne, TX). 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 Prima Poudel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prima Poudel accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Imperial Insurance Companies, Inc. list Prima 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 Prima Poudel was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.
# Prima Poudel, M.D. · NPI 1235446436
Internal Medicine physician in Fredericksburg, Virginia. Individual provider, active in the CMS NPPES registry since September 9, 2010.
## Identity
- **NPI:** 1235446436 (Entity type: Individual)
- **Enumerated:** September 9, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101290282 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 SAM PERRY BLVD STE 305, Fredericksburg, VA 22401-4465
- **Phone:** (540) 374-3290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mary Washington Healthcare Physicians (NPI 1295999852, Fredericksburg, VA); Sound Inpatient Physicians Of Texas I, Inc (NPI 1457643223, Beaumont, TX); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); Lonestar Hospital Medicine Associates, PA (NPI 1518237429, Mansfield, TX); University Of Texas Health Science Center At San Antonio (NPI 1417921834, Boerne, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2026
- **Other identifiers:** Medicaid 370303505 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1235446436) · Data from the CMS NPPES public registry.