Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DONA POULOSE M.D.
NPI 1770902165
Internal Medicine - Rheumatology in Spring, TX

Q: What is Dona Poulose's NPI number?

The NPI number for Dona Poulose is 1770902165. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Q: What is Dona Poulose's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Dona Poulose was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since April 14, 2014PECOS Enrolled

19740 INTERSTATE 45 N, SPRING, TX 77373(972) 798-8553(972) 798-8556 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2026, Nov 27, 2020 (2 updates tracked since 2020).

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About Dr. Dona Poulose M.d. NPPES

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

DR. DONA POULOSE M.D. (NPI 1770902165) is an individual rheumatology provider in Spring, Texas, licensed in Texas (R8967) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist West Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770902165

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameDR. DONA POULOSECredential: M.D.

Location Address19740 INTERSTATE 45 NSpring, TX 77373-2941

Mailing Address981 State Highway 121 Ste 3150Allen, TX 75013-6151 · (972) 798-8553 · Fax (972) 798-8556

Phone(972) 798-8553

Fax(972) 798-8556

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 14, 2014

Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1770902165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in TX · R8967

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

19740 INTERSTATE 45 N, Spring, TX 77373

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Dr. Dona Poulose M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981934619

PECOS Enrollment IDI20190924001000

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

Medicare enrollment records show Dona Poulose reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine

23 mi

Family Medicine

1504 TAUB LOOP
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1053352914 (713) 873-2000

Tmh Physician Associates PLLC

23 mi

Ophthalmology

6550 FANNIN ST, SUITE 447
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,407 clinicians in this Medicare group

NPI 1275779225 (713) 441-7389

Baylor College Of Medicine

24 mi

Medical Genetics, Ph.D. Medical Genetics

7200 CAMBRIDGE ST FL 10
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,554 clinicians in this Medicare group

NPI 1881026664 (713) 798-0000

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

Areas of Expertise CMS Part B claims 2

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.

408 services184 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.

102 services102 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670077

Location18500 Katy FreewayHouston, TX 77094 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77373 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 2

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

ADVANTAGE WOMEN'S CARE PA

Obstetrics & Gynecology

19740 INTERSTATE 45 N
SPRING, TX 77373

Harris County (281) 537-5556

KRISTI VERGENA MIZELLE M.D.

Internal Medicine (Rheumatology)

19740 INTERSTATE 45 N
SPRING, TX 77373

Harris County (972) 798-8553

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 Dona Poulose's NPI number?

The NPI number for Dona Poulose is 1770902165. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Dona Poulose located?

Dona Poulose practices at 19740 Interstate 45 N, Spring, TX 77373. The listed phone number is (972) 798-8553.

What is Dona Poulose's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Dona Poulose enrolled in Medicare?

Yes. Dona Poulose is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dona Poulose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dona Poulose reassigns Medicare benefits to 3 organizations: Baylor College Of Medicine (Houston, TX), Tmh Physician Associates PLLC (Houston, TX) and Baylor College Of Medicine (Houston, TX). 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 Dona Poulose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dona Poulose accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Dona Poulose 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 Dona Poulose affiliated with any hospitals?

According to CMS data, Dona Poulose is affiliated with Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Dona Poulose was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.