DR. POOJA JAGDISH MUDE DO
NPI 1780208892
Internal Medicine - Gastroenterology in Southfield, MI

Active since June 04, 2020PECOS Enrolled
22250 PROVIDENCE DR STE 301A, SOUTHFIELD, MI 48075(248) 849-3254 Get Directions Write a Review

NPPES record last updated: July 2, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 9, 2020, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Pooja Jagdish Mude Do NPPES

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

DR. POOJA JAGDISH MUDE DO (NPI 1780208892) is an individual gastroenterology provider in Southfield, Michigan, licensed in Michigan (5151016492) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780208892
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. POOJA JAGDISH MUDECredential: DO
Location Address22250 PROVIDENCE DR STE 301ASouthfield, MI 48075-6211
Mailing Address22250 Providence Dr Ste 301aSouthfield, MI 48075-6211
Sole ProprietorNo
Enumeration DateJune 4, 2020
Last NPPES UpdateJuly 2, 20232 updates tracked since enumeration
NPPES CertifiedJuly 2, 2023
✔ NPI 1780208892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 5151016492
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
22250 PROVIDENCE DR STE 301A, Southfield, MI 48075

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pooja Jagdish Mude Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48075 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.

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.

Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 301A
SOUTHFIELD, MI 48075
Internal Medicine (Gastroenterology)
22250 PROVIDENCE DR STE 301A
SOUTHFIELD, MI 48075

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 Pooja Mude's NPI number?

The NPI number for Pooja Mude is 1780208892. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Pooja Mude located?

Pooja Mude practices at 22250 Providence Dr Ste 301A, Southfield, MI 48075. The listed phone number is (248) 849-3254.

What is Pooja Mude's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Pooja Mude enrolled in Medicare?

Yes. Pooja Mude is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pooja Mude was last updated on July 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.