1. Home
  2. Directory
  3. Maine
  4. Bangor
  5. Internal Medicine
  6. NPI Profile

POONAM KHADKA M.D.
NPI 1750652822
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bangor, ME

Active since January 22, 2012PECOS EnrolledAccepts Medicare Assignment
98.44/100
CMS Quality Rating
900 BROADWAY, BANGOR, ME 04401(207) 907-1187(207) 907-1189 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Dec 4, 2019 (2 updates tracked since 2019).

About Poonam Khadka M.d. NPPES

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

POONAM KHADKA M.D. (NPI 1750652822) is an individual endocrinology, diabetes & metabolism provider in Bangor, Maine, licensed in Maine (MD20656) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1750652822
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePOONAM KHADKACredential: M.D.
Location Address900 BROADWAYBangor, ME 04401-1900
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800
Phone(207) 907-1187
Fax(207) 907-1189
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 22, 2012
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1750652822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in ME · MD20656
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
900 BROADWAY, Bangor, ME 04401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Poonam Khadka 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 ID4789992504
PECOS Enrollment IDI20150929000354
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 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.
259 services241 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
133 services128 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services53 patients
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.
42 services42 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Penobscot Valley Hospital

Critical Access Hospitals · Lincoln, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201303
Location7 Transalpine Road, PO Box 368Lincoln, ME 04457 · Penobscot County
Emergency services

Millinocket Regional Hospital

Critical Access Hospitals · Millinocket, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201307
Location200 Somerset StreetMillinocket, ME 04462 · Penobscot County
Emergency services

Houlton Regional Hospital

Critical Access Hospitals · Houlton, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201308
Location20 Hartford StreetHoulton, ME 04730 · Aroostook County
Emergency services

Down East Community Hospital

Critical Access Hospitals · Machias, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201311
Location11 Hospital DriveMachias, ME 04654 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

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
10 suppliers22 claims118 services$6.22 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers73 claims78 services$190.00 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.

HAILEY E BLACKWOOD FNPC
Nurse Practitioner
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
JOSHUA JAMES DUCHENE DO
Family Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3777
MARILYN L MICHAUD FNP
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
ILSA ANNETTA SHULMAN MD
Internal Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
RODRIGO ROXAS MD
Family Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3777
KERRY RIKER M. D.
Internal Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
ZACHARY MITCHELL GREENIER PA
Physician Assistant
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
MRS. ADRIENNE MIRANDA EWER FNP
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300

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 Poonam Khadka's NPI number?

The NPI number for Poonam Khadka is 1750652822. It was assigned to this individual provider in the NPPES registry on January 22, 2012.

Where is Poonam Khadka located?

Poonam Khadka practices at 900 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-1187.

What is Poonam Khadka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Poonam Khadka enrolled in Medicare?

Yes. Poonam Khadka 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.

What insurance does Poonam Khadka accept?

Health plans from Anthem Blue Cross and Blue Shield list Poonam Khadka 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.

Is Poonam Khadka affiliated with any hospitals?

According to CMS data, Poonam Khadka is affiliated with St Joseph Hospital, Penobscot Valley Hospital, Millinocket Regional Hospital, Houlton Regional Hospital and Down East Community Hospital.

When was this NPI record last updated?

The NPPES record for Poonam Khadka was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.