RHIJU POUDEL MD
NPI 1255863502
Family Medicine in Monroe, LA

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
309 JACKSON ST, MONROE, LA 71201(318) 966-4541(318) 966-4543 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2020, Mar 28, 2017 (2 updates tracked since 2017).

About Rhiju Poudel Md NPPES

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

RHIJU POUDEL MD (NPI 1255863502) is an individual family medicine provider in Monroe, Louisiana, licensed in Louisiana (306356) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Monroe, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255863502
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRHIJU POUDELCredential: MD
Location Address309 JACKSON STMonroe, LA 71201-7407
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 526-0001 · Fax (225) 765-9196
Fax(318) 966-4543
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 28, 2017
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
NPI 1255863502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · 306356
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
309 JACKSON ST, Monroe, LA 71201

Secondary Practice Location 1

Location 14864 Jackson St, Family Medicine ConwayMonroe, LA 71202-6400 · Phone (318) 330-7600

Accepted Insurance

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

Rhiju Poudel Md 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 ID5395018295
PECOS Enrollment IDI20250103003065
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 5

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.

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.
471 services149 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 services89 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
60 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71201 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers30 claims30 services$17.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$93.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
309 JACKSON ST
MONROE, LA 71201
Nurse Practitioner (Family)
309 JACKSON ST
MONROE, LA 71201
Rehabilitation Unit
309 JACKSON ST
MONROE, LA 71201
Student in an Organized Health Care Education/Training Program
309 JACKSON ST
MONROE, LA 71201
Internal Medicine (Pulmonary Disease)
309 JACKSON ST
MONROE, LA 71201
Nurse Practitioner (Neonatal)
309 JACKSON ST
MONROE, LA 71201
Student in an Organized Health Care Education/Training Program
309 JACKSON ST
MONROE, LA 71201
Emergency Medicine
309 JACKSON ST
MONROE, LA 71201

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 Rhiju Poudel's NPI number?

The NPI number for Rhiju Poudel is 1255863502. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Rhiju Poudel located?

Rhiju Poudel practices at 309 Jackson St, Monroe, LA 71201. The listed phone number is (318) 966-4541.

What is Rhiju Poudel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rhiju Poudel enrolled in Medicare?

Yes. Rhiju Poudel 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.

What insurance does Rhiju Poudel accept?

Health plans from HMO Louisiana list Rhiju 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 Rhiju Poudel was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.