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

Active since April 21, 2009PECOS Enrolled
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: October 25, 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
Phone(781) 876-2020
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poonam N. Doshi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Poonam Doshi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Eye Associates - Bid
Same address
Ophthalmology
21 WORTHEN RD
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
NPI 1801204714 (781) 862-1620
Lexington Eye Associates, Inc
Same address
Ophthalmology
21 WORTHEN RD
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 39 clinicians in this Medicare group
NPI 1467502757 (781) 862-1620
Spec, LLC
20 mi
Ophthalmology
77 HERRICK ST, UNIT 102
Beverly, MA 01915
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2 clinicians in this Medicare group
NPI 1073995783 (978) 338-4321
Specialized Pediatric Eye Care, Inc
20 mi
Ophthalmology
77 HERRICK ST, UNIT 102
Beverly, MA 01915
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
NPI 1457733917 (978) 338-4321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DANIEL W TOLPIN MD
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
LEXINGTON EYE ASSOCIATES - HIGHLAND HEALTHCARE
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
DR. OLIVIA LIAO MD
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
LEXINGTON EYE ASSOCIATES, INC.
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
DR. JARED E DUNCAN M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
DR. ANN PAWLOWSKI BURNHAM M.D.
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
DR. JENNIFER MULLON M.D.
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
MS. SUZANNE MORSE-FORTIER LICSW
Social Worker
21 WORTHEN RD, SUITE 2
LEXINGTON, MA 02421
Middlesex County (781) 879-3257

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 enrollment system.

Which organizations bill Medicare for Poonam Doshi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poonam Doshi reassigns Medicare benefits to 4 organizations: Lexington Eye Associates - Bid (Lexington, MA), Lexington Eye Associates, Inc (Lexington, MA), Spec, LLC (Beverly, MA) and Specialized Pediatric Eye Care, Inc (Beverly, MA). 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 Poonam Doshi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Poonam Doshi accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers 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 21 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.