POONAM PATEL M.D.
NPI 1770005902
Internal Medicine in Eastpointe, MI

Active since July 10, 2017PECOS EnrolledAccepts Medicare Assignment
21811 KELLY RD, EASTPOINTE, MI 48021(586) 649-3388(586) 842-3766 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Oct 13, 2021, Jul 10, 2017 (3 updates tracked since 2017).

About Poonam Patel M.d. NPPES

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

POONAM PATEL M.D. (NPI 1770005902) is an individual internal medicine provider in Eastpointe, Michigan, licensed in Michigan (4301504732) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770005902
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePOONAM PATELCredential: M.D.
Location Address21811 KELLY RDEastpointe, MI 48021-2704
Mailing Address21811 Kelly RdEastpointe, MI 48021-2704 · (586) 649-3388 · Fax (586) 842-3766
Fax(586) 842-3766
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 10, 2017
Last NPPES UpdateDecember 28, 20233 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
NPI 1770005902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MI · 4301504732 Licensed in FL · ME157909
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

21811 KELLY RD, Eastpointe, MI 48021

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

Poonam Patel 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 ID1456759950
PECOS Enrollment IDI20211014000876
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48021 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers17 claims17 services$70.11 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 11

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

Internal Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD, SUITE 107
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Pharmacist (Geriatric)
21811 KELLY RD, SUITE 103
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021

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 Patel's NPI number?

The NPI number for Poonam Patel is 1770005902. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Poonam Patel located?

Poonam Patel practices at 21811 Kelly Rd, Eastpointe, MI 48021. The listed phone number is (586) 649-3388.

What is Poonam Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Poonam Patel enrolled in Medicare?

Yes. Poonam Patel 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 Patel accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Molina Healthcare list Poonam Patel 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 Poonam Patel was last updated on December 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.