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DAVID PODKAMENI M.D.
NPI 1700967478
Surgery in Gilbert, AZ

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
1920 N HIGLEY RD STE 308, GILBERT, AZ 85234(480) 543-6600 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Podkameni M.d. NPPES

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

DAVID PODKAMENI M.D. (NPI 1700967478) is an individual surgery provider in Gilbert, Arizona, licensed in Arizona (36059) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1700967478
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDAVID PODKAMENICredential: M.D.
Location Address1920 N HIGLEY RD STE 308Gilbert, AZ 85234-1625
Mailing Address1920 N Higley Rd Ste 308Gilbert, AZ 85234-1625 · (480) 543-6600
Phone(480) 543-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1700967478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 36059
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1920 N HIGLEY RD STE 308, Gilbert, AZ 85234
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Secondary Practice Location 1

Location 19305 W Thomas Rd Ste 360Phoenix, AZ 85037-3367 · Phone (623) 327-8200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

David Podkameni 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 ID7416958749
PECOS Enrollment IDI20070129000600
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 David Podkameni reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Hospital Based Physicians Arizona LLC
0.1 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034
Banner Cancer Center Specialists LLC
21 mi
Oncology
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 470 clinicians in this Medicare group
NPI 1518253152 (602) 747-4000
Banner - University Hospital Based Physicians LLC
21 mi
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
NPI 1750751566 (602) 747-4000
Banner Physician Specialists Arizona LLC
21 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 538 clinicians in this Medicare group
NPI 1033730429 (602) 747-4000
Banner Primary Care Physicians Arizona LLC
21 mi
Primary Care
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 271 clinicians in this Medicare group
NPI 1417238908 (602) 747-4000

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 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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 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.
18 services15 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 4

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

DR. BERNADETTE WHITE MD
Surgery
1920 N HIGLEY RD STE 308
GILBERT, AZ 85234
Maricopa County (480) 543-6600
DR. RUEL JARAMILLO REYES MD
Surgery
1920 N HIGLEY RD STE 308
GILBERT, AZ 85234
Maricopa County (480) 543-6600
MELANIE DENISE DEYOUNG PA-C
Physician Assistant
1920 N HIGLEY RD STE 308
GILBERT, AZ 85234
Maricopa County (833) 924-2002
CHRISTINE LORRAINE ERCOLINE PA
Physician Assistant
1920 N HIGLEY RD STE 308
GILBERT, AZ 85234
Maricopa County (580) 543-6600

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 David Podkameni's NPI number?

The NPI number for David Podkameni is 1700967478. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is David Podkameni located?

David Podkameni practices at 1920 N Higley Rd Ste 308, Gilbert, AZ 85234. The listed phone number is (480) 543-6600.

What is David Podkameni's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Podkameni enrolled in Medicare?

Yes. David Podkameni 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 David Podkameni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Podkameni reassigns Medicare benefits to 5 organizations: Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ), Banner Cancer Center Specialists LLC (Phoenix, AZ), Banner - University Hospital Based Physicians LLC (Phoenix, AZ), Banner Physician Specialists Arizona LLC (Phoenix, AZ) and Banner Primary Care Physicians Arizona LLC (Phoenix, AZ). 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 David Podkameni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Podkameni accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list David Podkameni 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 David Podkameni was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.