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POONAM MAHESH PATEL DPM
NPI 1457032187
Podiatrist - Foot & Ankle Surgery in Philadelphia, PA

Active since July 26, 2023PECOS Enrolled
5800 RIDGE AVENUE, PHILADELPHIA, PA 19128(757) 971-2065 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2026, Jul 26, 2023 (2 updates tracked since 2023).

About Poonam Mahesh Patel Dpm NPPES

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

POONAM MAHESH PATEL DPM (NPI 1457032187) is an individual foot & ankle surgery provider in Philadelphia, Pennsylvania, licensed in Virginia (0103301488) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chesapeake.

NPPES Registry Identity

NPI1457032187
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NamePOONAM MAHESH PATELCredential: DPM
Location Address5800 RIDGE AVENUEPhiladelphia, PA 19128
Mailing Address130 Monument Rd Apt 337Bala Cynwyd, PA 19004-1760 · (757) 971-2065
Phone(757) 971-2065
Sole ProprietorYes
Enumeration DateJuly 26, 2023
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1457032187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in VA · 0103301488✔ Licensed in PA · SC007376
5800 RIDGE AVENUE, Philadelphia, PA 19128
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Secondary Practice Location 1

Location 1109 Wimbledon Sq Ste FChesapeake, VA 23320-4945 · Phone (757) 698-4177

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poonam Mahesh Patel Dpm 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.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANUSHA ENDREDDY MBBS
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-9900
DR. VICTORIA M. ADENIRAN DPM
Podiatrist (Foot & Ankle Surgery)
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-9900
MRS. KINAL MAHARSHI PATEL M.D.
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE, SUITE 353
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4284
DR. DAVID LAHIJANI DO
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-9900
DR. MEENAKSHI REDDY YATHINDRA M.D.
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE, SUITE 353
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4284
LAUREN ELIZABETH O'LEARY MS, CCC-SLP
Speech-Language Pathologist
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4734
NIDHI BHAL
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-9900
CAPITAL ANESTHESIA SOLUTIONS OF PHILADELPHIA, LLC
Anesthesiology
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Philadelphia County (855) 495-1400

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 Patel's NPI number?

The NPI number for Poonam Patel is 1457032187. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Where is Poonam Patel located?

Poonam Patel practices at 5800 Ridge Avenue, Philadelphia, PA 19128. The listed phone number is (757) 971-2065.

What is Poonam Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Poonam Patel enrolled in Medicare?

Yes. Poonam Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Poonam Patel was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.