POOJA MYSORE MD
NPI 1629631395
Emergency Medicine in Henderson, NV

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1050 W GALLERIA DR, HENDERSON, NV 89011(702) 963-7000 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2026, Jul 31, 2024, Jul 10, 2024 and 1 more (4 updates tracked since 2019).

About Pooja Mysore Md NPPES

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

POOJA MYSORE MD (NPI 1629631395) is an individual emergency medicine provider in Henderson, Nevada, licensed in Nevada (27240) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629631395
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NamePOOJA MYSORECredential: MD
Location Address1050 W GALLERIA DRHenderson, NV 89011-4800
Mailing Address4471 Dean Martin Dr Unit 3909Las Vegas, NV 89103-4116 · (631) 833-8616
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 18, 2019
Last NPPES UpdateJanuary 28, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1629631395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NV · 27240
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 100905 (GA)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 100905 (GA)
1050 W GALLERIA DR, Henderson, NV 89011

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

Pooja Mysore Md 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 ID8729317425
PECOS Enrollment IDI20241107003399
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
76 services34 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services46 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Henderson Hospital

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290057
Location1050 West Galleria DriveHenderson, NV 89011 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89011 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Emergency Medicine
1050 W GALLERIA DR
HENDERSON, NV 89011
Specialist/Technologist, Other (Surgical Assistant)
1050 W GALLERIA DR
HENDERSON, NV 89011
Registered Nurse (Lactation Consultant)
1050 W GALLERIA DR
HENDERSON, NV 89011
Obstetrics & Gynecology
1050 W GALLERIA DR
HENDERSON, NV 89011
Emergency Medicine
1050 W GALLERIA DR
HENDERSON, NV 89011
Anesthesiology
1050 W GALLERIA DR
HENDERSON, NV 89011
Pharmacist (Emergency Medicine)
1050 W GALLERIA DR
HENDERSON, NV 89011
Obstetrics & Gynecology
1050 W GALLERIA DR
HENDERSON, NV 89011

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 Mysore's NPI number?

The NPI number for Pooja Mysore is 1629631395. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Pooja Mysore located?

Pooja Mysore practices at 1050 W Galleria Dr, Henderson, NV 89011. The listed phone number is (702) 963-7000.

What is Pooja Mysore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Pooja Mysore enrolled in Medicare?

Yes. Pooja Mysore 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.

Is Pooja Mysore affiliated with any hospitals?

According to CMS data, Pooja Mysore is affiliated with Grady Memorial Hospital and Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Pooja Mysore was last updated on January 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.