POOJA N. PATEL MD
NPI 1801100821
Internal Medicine - Rheumatology in Tallahassee, FL

Active since August 02, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1961 BUFORD BLVD, TALLAHASSEE, FL 32308(850) 216-2977(850) 877-2983 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pooja N. Patel Md NPPES

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

POOJA N. PATEL MD (NPI 1801100821) is an individual rheumatology provider in Tallahassee, Florida, licensed in Florida (ME111156) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1801100821
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NamePOOJA N. PATELCredential: MD
Location Address1961 BUFORD BLVDTallahassee, FL 32308-4466
Mailing AddressPo Box 12427Tallahassee, FL 32317-2427 · (850) 297-0114
Fax(850) 877-2983
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 2, 2010
Last NPPES UpdateDecember 7, 2016
NPI 1801100821 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 FL · ME111156
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.
1961 BUFORD BLVD, Tallahassee, FL 32308

Other Identifiers 3

OtherP01000131FL · Medicare Railroad
Medicaid004097200FL
Medicare PINFI544YFL

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

Pooja N. Patel 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 ID7113199985
PECOS Enrollment IDI20111020000722
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 49

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,980 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
695 services276 patients
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.
684 services371 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
653 services257 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
644 services275 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
611 services266 patients

Hospital Affiliations CMS Care Compare 2

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Doctors Memorial Hospital Inc

Critical Access Hospitals · Perry, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101314
Location333 N Byron Butler PkwyPerry, FL 32347 · Taylor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier17 claims17 services$183.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
1961 BUFORD BLVD, BUILDING A
TALLAHASSEE, FL 32308
Nurse Practitioner
1961 BUFORD BLVD
TALLAHASSEE, FL 32308
Internal Medicine (Rheumatology)
1961 BUFORD BLVD
TALLAHASSEE, FL 32308

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 Patel's NPI number?

The NPI number for Pooja Patel is 1801100821. It was assigned to this individual provider in the NPPES registry on August 2, 2010.

Where is Pooja Patel located?

Pooja Patel practices at 1961 Buford Blvd, Tallahassee, FL 32308. The listed phone number is (850) 216-2977.

What is Pooja Patel's specialty?

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

Is Pooja Patel enrolled in Medicare?

Yes. Pooja Patel 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 Pooja Patel accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pooja Patel 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 Pooja Patel affiliated with any hospitals?

According to CMS data, Pooja Patel is affiliated with Tallahassee Memorial Healthcare and Doctors Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Pooja Patel was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.