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ISHAN POUDEL MD
NPI 1356965057
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 29, 2020PECOS Enrolled
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER, GME - ROOM 10A216, BROOKLYN, NY 11206(718) 963-8779 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Jul 9, 2023, Feb 2, 2022 and 1 more (4 updates tracked since 2020).

About Ishan Poudel Md NPPES

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

ISHAN POUDEL MD (NPI 1356965057) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356965057
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameISHAN POUDELCredential: MD
Location Address760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER, GME - ROOM 10A216Brooklyn, NY 11206
Mailing Address760 Broadway, Woodhull Medical Center, Gme - Room 10a216Brooklyn, NY 11206 · (718) 963-8779 · Fax (718) 963-7957
Phone(718) 963-8779
Sole ProprietorNo
Enumeration DateMay 29, 2020
Last NPPES UpdateFebruary 2, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1356965057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER, Brooklyn, NY 11206
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ishan Poudel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Ishan Poudel's NPI number?

The NPI number for Ishan Poudel is 1356965057. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Ishan Poudel located?

Ishan Poudel practices at 760 Broadway, Woodhull Medical And Mental Health Center Gme - Room 10a216, Brooklyn, NY 11206. The listed phone number is (718) 963-8779.

What is Ishan Poudel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ishan Poudel enrolled in Medicare?

Yes. Ishan Poudel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ishan Poudel was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.