POOJA KOOLWAL MD
NPI 1669811899
Internal Medicine - Nephrology in Dallas, TX

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5200 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-8000 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2018, Nov 2, 2018 (2 updates tracked since 2018).

About Pooja Koolwal Md NPPES

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

POOJA KOOLWAL MD (NPI 1669811899) is an individual nephrology provider in Dallas, Texas, licensed in Texas (R6593) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1669811899
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NamePOOJA KOOLWALCredential: MD
Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709
Mailing AddressPo Box 845347Dallas, TX 75284-7208 · (469) 291-2841 · Fax (214) 645-0078
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2013
Enumeration DateJune 20, 2013
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
NPI 1669811899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · R6593
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License R6593 (TX)
5200 HARRY HINES BLVD, Dallas, TX 75235

Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-9257 · Phone (214) 590-8000 · Fax (214) 648-9104

Accepted 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

Pooja Koolwal 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 ID8123249588
PECOS Enrollment IDI20181109002315
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
94 services55 patients
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.
41 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services11 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

Nurse Practitioner (Women's Health)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Neonatal, Critical Care)
5200 HARRY HINES BLVD, 4TH FLOOR, NNICU
DALLAS, TX 75235
Physician Assistant
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Physician Assistant
5200 HARRY HINES BLVD
DALLAS, TX 75235
Advanced Practice Midwife
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Women's Health)
5200 HARRY HINES BLVD
DALLAS, TX 75235

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669811899, enumerated as an "individual" on June 20, 2013.

The provider is located at 5200 HARRY HINES BLVD DALLAS, TX 75235 and the phone number is (214) 590-8000.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Pooja Koolwal is affiliated with: PARKLAND HEALTH & HOSPITAL SYSTEM and UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR..