POOJA NARWAL M.D.
NPI 1578841763
Internal Medicine - Endocrinology, Diabetes & Metabolism in South Windsor, CT

Active since July 22, 2011PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1559 SULLIVAN AVE, SOUTH WINDSOR, CT 06074(860) 696-2350 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pooja Narwal M.d. NPPES

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

POOJA NARWAL M.D. (NPI 1578841763) is an individual endocrinology, diabetes & metabolism provider in South Windsor, Connecticut, licensed in Connecticut (053508) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1578841763
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePOOJA NARWALCredential: M.D.
Location Address1559 SULLIVAN AVESouth Windsor, CT 06074-2766
Mailing Address160 Penwood XingGlastonbury, CT 06033-2761 · (248) 821-9277 · Fax (203) 688-4740
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 22, 2011
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1578841763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CT · 053508
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301098446 (MI)
Also ListedHospitalistTaxonomy 208M00000X · License 053508 (CT)
1559 SULLIVAN AVE, South Windsor, CT 06074

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

Pooja Narwal 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 ID1052542578
PECOS Enrollment IDI20150623000717
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

4

Medicare enrollment records show Pooja Narwal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
Psychiatric Unit
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Specialist
156 ROUTE 59, UNIT C1
Suffern, NY 10901
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Rockland Endocrine & Diabetes Services, P.C.
  • 14 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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
85 services77 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services24 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
19 services13 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06074 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers31 claims95 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers17 claims27 services$1.09 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
12 suppliers139 claims139 services$187.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
1559 SULLIVAN AVE, HARTFORD MEDICAL GROUP
SOUTH WINDSOR, CT 06074
Nurse Practitioner (Family)
1559 SULLIVAN AVE
SOUTH WINDSOR, CT 06074
Family Medicine
1559 SULLIVAN AVE
SOUTH WINDSOR, CT 06074
Family Medicine
1559 SULLIVAN AVE
SOUTH WINDSOR, CT 06074
Family Medicine
1559 SULLIVAN AVE, HARTFORD MEDICAL GROUP
SOUTH WINDSOR, CT 06074
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1559 SULLIVAN AVE
SOUTH WINDSOR, CT 06074
Internal Medicine
1559 SULLIVAN AVE, HARTFORD MEDICAL GROUP
SOUTH WINDSOR, CT 06074
Nurse Practitioner (Family)
1559 SULLIVAN AVE
SOUTH WINDSOR, CT 06074

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 Pooja Narwal's NPI number?

The NPI number for Pooja Narwal is 1578841763. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Pooja Narwal located?

Pooja Narwal practices at 1559 Sullivan Ave, South Windsor, CT 06074. The listed phone number is (860) 696-2350.

What is Pooja Narwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Pooja Narwal enrolled in Medicare?

Yes. Pooja Narwal 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 Pooja Narwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Narwal reassigns Medicare benefits to 4 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), William W Backus Hospital (Norwich, CT), North Shore-Lij Medical PC (Great Neck, NY) and Rockland Endocrine & Diabetes Services PC (Suffern, NY). 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 Pooja Narwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Narwal accept?

Health plans from Anthem Blue Cross and Blue Shield list Pooja Narwal 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.

When was this NPI record last updated?

The NPPES record for Pooja Narwal was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.