POOJA GAJJAR
NPI 1376221499
Dentist - General Practice in Washington, PA

Active since July 10, 2023PECOS Enrolled
351 W BEAU ST STE 301, WASHINGTON, PA 15301(724) 228-7400 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2025, Oct 11, 2024, Jul 10, 2023 (3 updates tracked since 2023).

About Pooja Gajjar NPPES

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

POOJA GAJJAR (NPI 1376221499) is an individual general practice provider in Washington, Pennsylvania, licensed in Pennsylvania (DS044769) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376221499
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePOOJA GAJJAR
Location Address351 W BEAU ST STE 301Washington, PA 15301-4663
Mailing Address5607 Spring Ridge Dr WMacungie, PA 18062-9570 · (954) 644-2159
Sole ProprietorNo
Enumeration DateJuly 10, 2023
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1376221499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS044769
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
351 W BEAU ST STE 301, Washington, PA 15301

Secondary Practice Locations 2

Location 17 Glassworks RdGreensboro, PA 15338-9507 · Phone (724) 943-3308
Location 26690 Hauser Rd Apt M104Macungie, PA 18062-8126 · Phone (954) 644-2159

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pooja Gajjar 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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
351 W BEAU ST STE 301
Washington, PA 15301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 55 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
351 W BEAU ST STE 301
WASHINGTON, PA 15301
Clinic/Center (Federally Qualified Health Center (FQHC))
351 W BEAU ST STE 301
WASHINGTON, PA 15301
Clinic/Center (Federally Qualified Health Center (FQHC))
351 W BEAU ST STE 301
WASHINGTON, PA 15301
Dentist (General Practice)
351 W BEAU ST STE 301
WASHINGTON, PA 15301

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 Pooja Gajjar's NPI number?

The NPI number for Pooja Gajjar is 1376221499. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Pooja Gajjar located?

Pooja Gajjar practices at 351 W Beau St Ste 301, Washington, PA 15301. The listed phone number is (724) 228-7400.

What is Pooja Gajjar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Pooja Gajjar enrolled in Medicare?

Yes. Pooja Gajjar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pooja Gajjar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Gajjar reassigns Medicare benefits to Cornerstone Care Inc (Washington, PA). 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 Pooja Gajjar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Gajjar accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 15 other insurers list Pooja Gajjar 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 Pooja Gajjar was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.