DR. DONA POULOSE M.D.
NPI 1770902165
Internal Medicine - Rheumatology in Houston, 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 November 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment

7200 CAMBRIDGE ST STE 8A, HOUSTON, TX 77030(713) 798-7313 Get Directions Write a Review

NPPES record last updated: November 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 Houston, 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 Address7200 CAMBRIDGE ST STE 8AHouston, TX 77030-4202

Mailing Address7200 Cambridge St Ste 8aHouston, TX 77030-4202

Phone(713) 798-7313

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 14, 2014

Last NPPES UpdateNovember 27, 2020

NPPES CertifiedNovember 27, 2020

✔ 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.

7200 CAMBRIDGE ST STE 8A, Houston, TX 77030

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dona Poulose 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 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.

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 77030 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 20

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

TYLER MICHAEL SEWELL

Student in an Organized Health Care Education/Training Program