POONAM N. DOSHI MD
NPI 1770727745
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Lexington, MA

Active since April 21, 2009PECOS EnrolledAccepts Medicare Assignment
21 WORTHEN RD, LEXINGTON, MA 02421(781) 876-2020(781) 863-9416 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2020, Jan 27, 2020, May 14, 2018 (3 updates tracked since 2018).

About Poonam N. Doshi Md NPPES

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

POONAM N. DOSHI MD (NPI 1770727745) is an individual pediatric ophthalmology and strabismus specialist in Lexington, Massachusetts, licensed in Massachusetts (281527) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2008).

NPPES Registry Identity

NPI1770727745
Entity TypeIndividualFemale
Primary Taxonomy207WX0110X
Provider Legal NamePOONAM N. DOSHICredential: MD
Location Address21 WORTHEN RDLexington, MA 02421-4835
Mailing Address21 Worthen RdLexington, MA 02421-4835 · (781) 876-2020 · Fax (781) 863-9416
Fax(781) 863-9416
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2008
Enumeration DateApril 21, 2009
Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1770727745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License Licensed in MA · 281527
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 281527 (MA)
21 WORTHEN RD, Lexington, MA 02421

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 N. Doshi Md 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 ID3779747704
PECOS Enrollment IDI20200324001642
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 02421 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Social Worker
21 WORTHEN RD, SUITE 2
LEXINGTON, MA 02421

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 Doshi's NPI number?

The NPI number for Poonam Doshi is 1770727745. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Poonam Doshi located?

Poonam Doshi practices at 21 Worthen Rd, Lexington, MA 02421. The listed phone number is (781) 876-2020.

What is Poonam Doshi's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Poonam Doshi enrolled in Medicare?

Yes. Poonam Doshi 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 Doshi accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Poonam Doshi 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 Doshi was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.