MS. POOJA PRAKASH CHANDIRAMANI PA
NPI 1730713116
Physician Assistant - Medical in Saint Louis, MO

Active since February 25, 2020PECOS EnrolledAccepts Medicare Assignment
4921 PARKVIEW PL, DIV IM GASTROENTEROLOGY, STE 12B, SAINT LOUIS, MO 63110(314) 747-2066(314) 362-2357 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 29, 2021 and 3 more (6 updates tracked since 2020).

About Ms. Pooja Prakash Chandiramani Pa NPPES

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

MS. POOJA PRAKASH CHANDIRAMANI PA (NPI 1730713116) is an individual medical provider in Saint Louis, Missouri, licensed in Missouri (2020006084) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2019).

NPPES Registry Identity

NPI1730713116
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. POOJA PRAKASH CHANDIRAMANICredential: PA
Location Address4921 PARKVIEW PL, DIV IM GASTROENTEROLOGY, STE 12BSaint Louis, MO 63110-1032
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 747-2066 · Fax (314) 362-2357
Fax(314) 362-2357
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2019
Enumeration DateFebruary 25, 2020
Last NPPES UpdateApril 15, 20256 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
NPI 1730713116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MO · 2020006084
4921 PARKVIEW PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid220083567MO

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

Ms. Pooja Prakash Chandiramani Pa 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 ID5991126484
PECOS Enrollment IDI20200610000167
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

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.

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.
20 services19 patients

Referred Medical Equipment & Supplies CMS DME claims 2

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
5 suppliers14 claims29 services$5.70 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.49 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 20

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

Ophthalmology
4921 PARKVIEW PL, STE 12B
SAINT LOUIS, MO 63110
Internal Medicine (Gastroenterology)
4921 PARKVIEW PL, 8TH FLOOR SUITE C
SAINT LOUIS, MO 63110
Internal Medicine
4921 PARKVIEW PL, SUITE 14 E
SAINT LOUIS, MO 63110
Internal Medicine (Hematology & Oncology)
4921 PARKVIEW PL, SUITE 14C
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730713116, enumerated as an "individual" on February 25, 2020.

The provider is located at 4921 PARKVIEW PL DIV IM GASTROENTEROLOGY, STE 12B SAINT LOUIS, MO 63110 and the phone number is (314) 747-2066.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Cox HealthPlans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.