POOJA PAUNIKAR
NPI 1801150297
Family Medicine in Riverhead, NY
About Pooja Paunikar NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POOJA PAUNIKAR (NPI 1801150297) is an individual family medicine provider in Riverhead, New York, licensed in New York (280203) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Hampton Bays.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pooja Paunikar 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.
Medicare Billing Reassignments
8Medicare enrollment records show Pooja Paunikar reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverhead, NY 11901
- Reassigned Medicare billing, New York enrollment
- 134 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Yorktown Heights, NY 10598
- Reassigned Medicare billing, New York enrollment
- 307 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 612 clinicians in this Medicare group
Fort Lee, NJ 07024
- Reassigned Medicare billing, New York enrollment
- 1,048 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 529 clinicians in this Medicare group
Cross, SC 29436
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1659872059 (South Carolina), NPI 1518454818 (South Carolina), NPI 1457007841 (South Carolina), NPI 1982124301 (South Carolina)
- 79 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Paunikar's NPI number?
The NPI number for Pooja Paunikar is 1801150297. It was assigned to this individual provider in the NPPES registry on June 29, 2012.
Where is Pooja Paunikar located?
Pooja Paunikar practices at 34 Commerce Ave Ste 1, Riverhead, NY 11901. The listed phone number is (631) 727-1600.
What is Pooja Paunikar's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pooja Paunikar enrolled in Medicare?
Yes. Pooja Paunikar 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.
Which organizations bill Medicare for Pooja Paunikar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Paunikar reassigns Medicare benefits to 8 organizations: Central Suffolk Hospital (Riverhead, NY), North Shore-Lij Medical PC (Great Neck, NY), The Westchester Medical Practice, PC (Yorktown Heights, NY), Sun River Health Inc (Bronx, NY), Trustees Of Columbia University In The City Of New York (New York, NY) and 3 more organizations, listed in the Medicare section above. 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 Pooja Paunikar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pooja Paunikar accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Pooja Paunikar 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 Paunikar affiliated with any hospitals?
According to CMS data, Pooja Paunikar is affiliated with Musc Medical Center.
When was this NPI record last updated?
The NPPES record for Pooja Paunikar was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Pooja Paunikar · NPI 1801150297
Family Medicine physician in Riverhead, New York. Individual provider, active in the CMS NPPES registry since June 29, 2012.
## Identity
- **NPI:** 1801150297 (Entity type: Individual)
- **Enumerated:** June 29, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 280203 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 34 COMMERCE AVE STE 1, Riverhead, NY 11901-3118
- **Phone:** (631) 727-1600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Central Suffolk Hospital (NPI 1043402050, Riverhead, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); The Westchester Medical Practice, PC (NPI 1225222953, Yorktown Heights, NY); Sun River Health Inc (NPI 1740763275, Bronx, NY); Trustees Of Columbia University In The City Of New York (NPI 1437176047, New York, NY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1801150297) · Data from the CMS NPPES public registry.