POONAM POONAM M.D.
NPI 1427579259
Psychiatry & Neurology - Neurology in Fort Myers, FL

Active since July 01, 2017PECOS EnrolledAccepts Medicare Assignment
11215 METRO PKWY STE 100, FORT MYERS, FL 33966(239) 208-2212(239) 208-3994 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2025, Dec 10, 2024, Feb 3, 2023 and 2 more (5 updates tracked since 2017).

About Poonam Poonam M.d. NPPES

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

POONAM POONAM M.D. (NPI 1427579259) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (ME171316) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Heart Of Florida, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1427579259
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NamePOONAM POONAMCredential: M.D.
Location Address11215 METRO PKWY STE 100Fort Myers, FL 33966-1206
Mailing Address1665 Herlong Court, Ste BRock Hill, SC 29732 · (803) 366-6135 · Fax (803) 366-3439
Fax(239) 208-3994
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 1, 2017
Last NPPES UpdateApril 24, 20255 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1427579259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in FL · ME171316✔ Licensed in KY · TP578✔ Licensed in MO · 2024049374✔ Licensed in OR · MD223261✔ Licensed in WA · MD61627497
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License 272359 (MA)
11215 METRO PKWY STE 100, Fort Myers, FL 33966

Other Names 1

Other Name (5)No Name Given Poonam M.d.

Secondary Practice Locations 4

Location 1725 North StPittsfield, MA 01201-4109 · Phone (413) 447-2839
Location 22790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201
Location 32801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 413-2200
Location 42211 NE 139th StVancouver, WA 98686-2742 · Phone (360) 487-1000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Poonam Poonam M.d. 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 ID6507132339
PECOS Enrollment IDI20250109001380, I20250212000622, I20250926002868, I20251015005103, I20260403000921
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 Reassignments

21

Medicare enrollment records show Poonam Poonam reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
11215 METRO PKWY STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, North Carolina enrollment
  • 10 clinicians in this Medicare group
Neurology
11215 METRO PKWAY, BLDG. 3, STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 11 clinicians in this Medicare group
Neurology
11215 METRO PKWY STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, North Carolina enrollment
  • 9 clinicians in this Medicare group
Neurology
11215 METRO PKWY STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
Long Term Care Hospital
1500 LEE BLVD FL 3
Lehigh Acres, FL 33936
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Nchmd Inc
  • 808 clinicians in this Medicare group
Anesthesiology
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, North Carolina enrollment
  • 11 clinicians in this Medicare group
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
General Acute Care Hospital
317 WESTERN BLVD
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 137 clinicians in this Medicare group
Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 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.

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Mercyone Dubuque Medical Center

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160069
Location250 Mercy DriveDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160080
Location1410 North 4th StreetClinton, IA 52732 · Clinton County
Emergency services Birthing friendly

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Case Manager/Care Coordinator
11215 METRO PKWY STE 100
FORT MYERS, FL 33966

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 Poonam Poonam's NPI number?

The NPI number for Poonam Poonam is 1427579259. It was assigned to this individual provider in the NPPES registry on July 1, 2017. The provider is also known as No Name Given Poonam M.D..

Where is Poonam Poonam located?

Poonam Poonam practices at 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966. The listed phone number is (239) 208-2212.

What is Poonam Poonam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Poonam Poonam enrolled in Medicare?

Yes. Poonam Poonam 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.

Which organizations bill Medicare for Poonam Poonam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poonam Poonam reassigns Medicare benefits to 21 organizations: Telespecialists North Carolina Neurology Services PLLC (Fort Myers, FL), Virtual Neurology, LLC (Fort Myers, FL), Virtual Neurology Kansas, LLC (Fort Myers, FL), Virtual Neurology PC (Fort Myers, FL), Landmark Hospital Of Southwest Florida, LLC (Lehigh Acres, FL) and 16 more organizations, listed in the Medicare section above. Each 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 Poonam Poonam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Poonam Poonam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Blue Cross Blue Shield of Arizona and 14 other insurers list Poonam Poonam 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 Poonam Poonam affiliated with any hospitals?

According to CMS data, Poonam Poonam is affiliated with Adventhealth Heart Of Florida, Piedmont Walton Hospital, Mercyone Dubuque Medical Center, Mercyone Clinton Medical Center and Christus Shreveport-Bossier Health System.

When was this NPI record last updated?

The NPPES record for Poonam Poonam was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.