ASHIQUEALI I POONAWALA M.D.
NPI 1467434563
Internal Medicine in Houston, TX

Q: What is Ashiqueali Poonawala's NPI number?

The NPI number for Ashiqueali Poonawala is 1467434563. It was assigned to this individual provider in the NPPES registry on November 16, 2005. The provider is also known as Ashiqueali I Poonawala M.D..

Q: What is Ashiqueali Poonawala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment

13311 HARGRAVE RD STE 103, HOUSTON, TX 77070(281) 890-6800(281) 890-6865 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ashiqueali I Poonawala M.d. NPPES

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

ASHIQUEALI I POONAWALA M.D. (NPI 1467434563) is an individual internal medicine provider in Houston, Texas, licensed in Texas (K3399) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Northwest, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1467434563

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameASHIQUEALI I POONAWALACredential: M.D.

Location Address13311 HARGRAVE RD STE 103Houston, TX 77070-4310

Mailing AddressPo Box 73105Houston, TX 77273-3105 · (281) 890-6800

Phone(281) 890-6800

Fax(281) 890-6865

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateNovember 16, 2005

Last NPPES UpdateJanuary 22, 2020

✔ NPI 1467434563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · K3399

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

13311 HARGRAVE RD STE 103, Houston, TX 77070

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Other Names 1

Other Name (5)Ashiqueali I Poonawala M.d.

Other Identifiers 1

Medicaid043996001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Ashiqueali I Poonawala 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 ID7416033667

PECOS Enrollment IDI20100317001002

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

146 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

35 services29 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450638

Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County

Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450844

Location18220 State Highway 249Houston, TX 77070 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers25 claims25 services$14.55 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers26 claims26 services$64.71 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$169.49 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 2

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

NORTHWEST INTERNAL MEDICINE SPECIALISTS PLLC

Internal Medicine

13311 HARGRAVE RD STE 103
HOUSTON, TX 77070

Harris County (281) 890-6800

IMRAN POONAWALA D.O.

Internal Medicine

13311 HARGRAVE RD STE 103
HOUSTON, TX 77070

Harris County (281) 890-6800

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 Ashiqueali Poonawala's NPI number?

The NPI number for Ashiqueali Poonawala is 1467434563. It was assigned to this individual provider in the NPPES registry on November 16, 2005. The provider is also known as Ashiqueali I Poonawala M.D..

Where is Ashiqueali Poonawala located?

Ashiqueali Poonawala practices at 13311 Hargrave Rd Ste 103, Houston, TX 77070. The listed phone number is (281) 890-6800.

What is Ashiqueali Poonawala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ashiqueali Poonawala enrolled in Medicare?

Yes. Ashiqueali Poonawala 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 Ashiqueali Poonawala accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Ashiqueali Poonawala 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 Ashiqueali Poonawala affiliated with any hospitals?

According to CMS data, Ashiqueali Poonawala is affiliated with Hca Houston Healthcare Northwest and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Ashiqueali Poonawala was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.