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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: August 02, 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
Phone(239) 208-2212
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
Open in Google Maps ↗

Other Names 1

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

Secondary Practice Locations 4

Location 12801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 413-2200
Location 22211 NE 139th StVancouver, WA 98686-2742 · Phone (360) 487-1000
Location 32790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201
Location 4725 North StPittsfield, MA 01201-4109 · Phone (413) 447-2839

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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 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 IDI20241220002881, I20250109001380, I20250128000499, I20250212000622, I20250926002868, I20251015005103
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.

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.

ERICA RENE WILT M.D.
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Lee County (239) 208-2206
GUSTAVO SILVEIRA E SILVA M.D.
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Lee County (239) 208-2206
RACHEL ELIZABETH CARLIN MD
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Lee County (239) 208-2212
PAULO GONZALEZ DO
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Lee County (239) 208-2206
DR. DOUGLAS MATTHEW FRANZ M.D.
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Lee County (239) 208-2206
STEPHEN L MCDONALD
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Lee County (239) 208-2212
DR. ANANDA-KRIIYA SATYA FINE MS, MD, PHD
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Lee County (239) 208-2212
DANIELLE HASKINS M.D.
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Lee County (239) 208-2206

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.

What insurance does Poonam Poonam accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan and 8 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 15 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.