POOJA KC
NPI 1245843499
Hospitalist in West Reading, PA

Active since August 27, 2020PECOS EnrolledAccepts Medicare Assignment
420 S 5TH AVE, WEST READING, PA 19611(347) 652-9210 Get Directions Write a Review

NPPES record last updated: December 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 21, 2024, Aug 7, 2023, Aug 27, 2020 (3 updates tracked since 2020).

About Pooja Kc NPPES

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

POOJA KC (NPI 1245843499) is an individual hospitalist provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD481025) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245843499
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePOOJA KC
Location Address420 S 5TH AVEWest Reading, PA 19611-1122
Mailing Address420 S 5th AveWest Reading, PA 19611
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 27, 2020
Last NPPES UpdateDecember 21, 20243 updates tracked since enumeration
NPPES CertifiedDecember 21, 2024
NPI 1245843499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in PA · MD481025
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.

420 S 5TH AVE, West Reading, PA 19611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pooja Kc 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 ID6103282918
PECOS Enrollment IDI20230522001702
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
492 services182 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
91 services91 patients
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.
54 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Family Medicine
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Emergency Medicine
420 S 5TH AVE
WEST READING, PA 19611
Obstetrics & Gynecology
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Nurse Anesthetist, Certified Registered
420 S 5TH AVE
WEST READING, PA 19611
Registered Nurse (Neonatal Intensive Care)
420 S 5TH AVE
WEST READING, PA 19611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245843499, enumerated as an "individual" on August 27, 2020.

The provider is located at 420 S 5TH AVE WEST READING, PA 19611 and the phone number is (347) 652-9210.

Hospitalist with taxonomy code 208M00000X.

Pooja Kc is affiliated with: READING HOSPITAL.