MICHAEL ADAM PODRAZA M.D.
NPI 1255566824
Obstetrics & Gynecology in Memphis, TN

Q: What is Michael Podraza's NPI number?

The NPI number for Michael Podraza is 1255566824. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Q: What is Michael Podraza's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Podraza was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 26, 2009PECOS Enrolled

84.98/100

CMS Quality Rating

6401 POPLAR AVE STE 195, MEMPHIS, TN 38119(901) 257-9725(901) 425-9778 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2023, May 10, 2023, Jan 21, 2021 (3 updates tracked since 2021).

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About Michael Adam Podraza M.d. NPPES

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

MICHAEL ADAM PODRAZA M.D. (NPI 1255566824) is an individual obstetrics & gynecology provider in Memphis, Tennessee, licensed in Tennessee (50594) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2009).

NPPES Registry Identity

NPI1255566824

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMICHAEL ADAM PODRAZACredential: M.D.

Location Address6401 POPLAR AVE STE 195Memphis, TN 38119-4891

Mailing Address6401 Poplar Ave Ste 195Memphis, TN 38119-4891 · (901) 257-9725 · Fax (901) 425-9778

Phone(901) 257-9725

Fax(901) 425-9778

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2009

Enumeration DateMay 26, 2009

Last NPPES UpdateFebruary 22, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2024

✔ NPI 1255566824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TN · 50594

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6401 POPLAR AVE STE 195, Memphis, TN 38119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Adam Podraza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941431571

PECOS Enrollment IDI20140325001419

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 Reassignment

Medicare enrollment records show Michael Podraza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harmony Women's Health, PLLC

Same address

Obstetrics & Gynecology

6401 POPLAR AVE STE 195
Memphis, TN 38119

Reassigned Medicare billing, Tennessee enrollment
4 clinicians in this Medicare group

NPI 1174232334 (901) 257-9725

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 4

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 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.

29 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

13 services13 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.73

Promoting Interoperability

100

Improvement Activities

Cost

76.22

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.

HANNAH DAWSON INGRAM FNP-C

Nurse Practitioner (Family)

6401 POPLAR AVE STE 195
MEMPHIS, TN 38119

Shelby County (901) 257-9725

HARMONY WOMEN'S HEALTH, PLLC

Obstetrics & Gynecology

6401 POPLAR AVE STE 195
MEMPHIS, TN 38119

Shelby County (901) 257-9725

MS. ELISABETH SIMS NP

Nurse Practitioner (Family)

6401 POPLAR AVE STE 195
MEMPHIS, TN 38119

Shelby County (901) 257-9725

ASHLEY MCCARTY CLC, SBD

Lactation Consultant, Non-RN

6401 POPLAR AVE STE 195
MEMPHIS, TN 38119

Shelby County (901) 497-8336

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 Michael Podraza's NPI number?

The NPI number for Michael Podraza is 1255566824. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Michael Podraza located?

Michael Podraza practices at 6401 Poplar Ave Ste 195, Memphis, TN 38119. The listed phone number is (901) 257-9725.

What is Michael Podraza's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Podraza enrolled in Medicare?

Yes. Michael Podraza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Podraza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Podraza reassigns Medicare benefits to Harmony Women's Health, PLLC (Memphis, TN). The 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 Michael Podraza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Podraza accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Michael Podraza 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 Michael Podraza was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.