DR. POOJA J KOTADIA M.D.
NPI 1699112789
Hospitalist in Melbourne, FL

Active since May 29, 2013PECOS EnrolledAccepts Medicare Assignment
1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1771(321) 434-1775 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2021, Mar 19, 2021, May 17, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Pooja J Kotadia M.d. NPPES

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

DR. POOJA J KOTADIA M.D. (NPI 1699112789) is an individual hospitalist provider in Melbourne, Florida, licensed in Florida (ME127057) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Hillsboro Medical Center, and is a graduate of University Of Florida College Of Medicine (2013).

NPPES Registry Identity

NPI1699112789
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. POOJA J KOTADIACredential: M.D.
Location Address1350 HICKORY STMelbourne, FL 32901-3224
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 434-1981 · Fax (321) 951-7408
Fax(321) 434-1775
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2013
Enumeration DateMay 29, 2013
Last NPPES UpdateJuly 26, 20215 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1699112789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME127057
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 127057 (FL)
1350 HICKORY ST, Melbourne, FL 32901

Other Identifiers 2

Medicaid018358200FL
OtherIQ749ZFL · Medicare

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

Dr. Pooja J Kotadia 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 ID244522431
PECOS Enrollment IDI20170103001813
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

5

Medicare enrollment records show Pooja Kotadia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Skilled Nursing Facility
3720 CHURCH ROCK ST
Gallup, NM 87301
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
Hospitalist
800 W 5TH AVE
Spokane, WA 99204
  • Reassigned Medicare billing, Washington and Oregon enrollments
  • Also billed through NPI 1053578237 (Oregon)
  • 915 clinicians in this Medicare group
General Acute Care Hospital
9205 SW BARNES RD
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group
Psychiatric Hospital
335 SE 8TH AVE
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 185 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 2

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.
87 services28 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380021
Location335 SE 8th AvenueHillsboro, OR 97123 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Obstetrics & Gynecology
1350 HICKORY ST
MELBOURNE, FL 32901
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901

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 Kotadia's NPI number?

The NPI number for Pooja Kotadia is 1699112789. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Pooja Kotadia located?

Pooja Kotadia practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 434-1771.

What is Pooja Kotadia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pooja Kotadia enrolled in Medicare?

Yes. Pooja Kotadia 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 Kotadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Kotadia reassigns Medicare benefits to 5 organizations: Dhhs,phs,naihs,gallup Indian Medical Center (Gallup, NM), South Sound Inpatient Physicians PLLC (Spokane, WA), Providence Health & Services - Oregon (Portland, OR), Tuality Medical Group LLC (Hillsboro, OR) and Tuality Healthcare (Hillsboro, OR). 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 Kotadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pooja Kotadia affiliated with any hospitals?

According to CMS data, Pooja Kotadia is affiliated with Hillsboro Medical Center.

When was this NPI record last updated?

The NPPES record for Pooja Kotadia was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.