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

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: July 26, 2026.

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

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, is affiliated with St Francis Hospital, 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 from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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

Hospital Affiliations CMS Care Compare

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

St Francis Hospital

Acute Care Hospitals · Memphis, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440183
Location5959 Park AveMemphis, TN 38119 · Shelby County
Emergency services Birthing friendly

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
Quality73.73
Promoting Interoperability100
Improvement Activities40
Cost76.22

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.

What insurance does Michael Podraza accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 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.

Is Michael Podraza affiliated with any hospitals?

According to CMS data, Michael Podraza is affiliated with St Francis Hospital.

When was this NPI record last updated?

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