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

Active since July 26, 2023PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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, maintains a secondary practice location in Chesapeake, and is a graduate of Other (2023).

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
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
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

Secondary Practice Location 1

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

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 Mahesh Patel Dpm 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 ID6002370319
PECOS Enrollment IDI20260708002013
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 Poonam Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Podiatrist
2000 HILLPOINT BLVD N
Suffolk, VA 23434
  • Reassigned Medicare billing, Virginia enrollment
  • 13 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.

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.

Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Podiatrist (Foot & Ankle Surgery)
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE, SUITE 353
PHILADELPHIA, PA 19128
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE, SUITE 353
PHILADELPHIA, PA 19128
Speech-Language Pathologist
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128
Anesthesiology
5800 RIDGE AVENUE
PHILADELPHIA, PA 19128

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Poonam Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poonam Patel reassigns Medicare benefits to 1foot 2foot Centre For Foot And Ankle Care, PC (Suffolk, VA). 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 Poonam Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Poonam Patel was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.