VIKRAMADITYA POONAI M.D.
NPI 1851477152
Internal Medicine in Cumberland, MD

Q: What is Vikramaditya Poonai's NPI number?

The NPI number for Vikramaditya Poonai is 1851477152. It was assigned to this individual provider in the NPPES registry on October 29, 2006.

Q: What is Vikramaditya Poonai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 29, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

924 SETON DR, CUMBERLAND, MD 21502(301) 777-5150 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Vikramaditya Poonai M.d. NPPES

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

VIKRAMADITYA POONAI M.D. (NPI 1851477152) is an individual internal medicine provider in Cumberland, Maryland, licensed in Maryland (D36766) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Ponce School Of Medicine (1986).

NPPES Registry Identity

NPI1851477152

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameVIKRAMADITYA POONAICredential: M.D.

Location Address924 SETON DRCumberland, MD 21502-1851

Mailing Address924 Seton DrCumberland, MD 21502-1851 · (301) 777-5150

Phone(301) 777-5150

Sole ProprietorYes

Medical School CMSPonce School Of MedicineGraduated 1986

Enumeration DateOctober 29, 2006

Last NPPES UpdateMay 2, 2023

NPPES CertifiedMay 2, 2023

✔ NPI 1851477152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D36766

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

924 SETON DR, Cumberland, MD 21502

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Other Identifiers 1

Medicaid53016-1100MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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

Vikramaditya Poonai 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 ID5395807374

PECOS Enrollment IDI20081230000029

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 Reassignment

Medicare enrollment records show Vikramaditya Poonai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vik Poonai M D PC

Same address

Internal Medicine

924 SETON DR
Cumberland, MD 21502

Reassigned Medicare billing, Maryland enrollment
Medicare enrollment name: Vik Poonai M D P C

NPI 1013166404 (301) 777-5458

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 6

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

1,816 services798 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

387 services387 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

102 services86 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 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.

17 services17 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210017

Location251 North Fourth StreetOakland, MD 21550 · Garrett County

Emergency services Birthing friendly

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210027

Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County

Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511311

Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County

Emergency services

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511315

Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%979 patients5/55-star benchmark: 100%

Breast Cancer Screening

99%488 patients4/55-star benchmark: 100%

Colorectal Cancer Screening

91%1,247 patients4/55-star benchmark: 100%

Controlling High Blood Pressure

89%1,344 patients4/55-star benchmark: 98%

Falls: Plan of Care

100%34 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 1% · 1,802 patients

Patients screened: 6% · 1,802 patients

97%33 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 26

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

18 suppliers173 claims406 services$5.49 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers16 claims16 services$2.94 avg. paid by Medicare

Spring-powered device for lancet, each A4258

DME-Other DME · category DE000N

3 suppliers16 claims16 services$1.65 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers51 claims64 services$1.06 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

2 suppliers15 claims450 services$3.28 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057

DME-Orthotic Devices · category DF010N

1 supplier11 claims440 services$8.74 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers43 claims43 services$85.95 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers53 claims95 services$32.54 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers25 claims74 services$19.10 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

1 supplier16 claims32 services$15.51 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers28 claims28 services$54.36 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers51 claims51 services$18.09 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers74 claims74 services$14.55 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers115 claims333 services$2.15 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

3 suppliers23 claims23 services$6.04 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

2 suppliers23 claims23 services$11.16 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers54 claims54 services$16.16 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$46.07 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers39 claims41 services$13.31 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers60 claims60 services$38.62 avg. paid by Medicare

Home blood glucose monitor E0607

DME-Other DME · category DE017N

3 suppliers12 claims12 services$46.02 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier21 claims21 services$9.51 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers97 claims97 services$83.80 avg. paid by Medicare

Extra heavy duty wheelchair K0007

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$62.43 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers15 claims15 services$193.74 avg. paid by Medicare

Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825

DME-Wheelchairs · category DD009N

1 supplier11 claims11 services$208.07 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 6

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

VIK POONAI M D PC

Internal Medicine

924 SETON DR
CUMBERLAND, MD 21502

Allegany County (301) 777-5458

ALLEGANY SURGICAL ASSOCIATES

Specialist

924 SETON DR
CUMBERLAND, MD 21502

Allegany County (301) 724-8847

DR CARLOS SANTIAGO INTERVENTIONAL PAIN CENTER

Anesthesiology (Pediatric Anesthesiology)

924 SETON DR
CUMBERLAND, MD 21502

Allegany County (301) 724-5157

STASKO SURGICAL ASSOCIATES, P.A.

Surgery

924 SETON DR
CUMBERLAND, MD 21502

Allegany County (301) 724-8877

DR. MICHAEL WILLIAM STASKO M.D.

Surgery

924 SETON DR
CUMBERLAND, MD 21502

Allegany County (301) 724-8877

MRS. THERESA MARIE SMITH CFA

Specialist/Technologist, Other (Surgical Assistant)

924 SETON DR
CUMBERLAND, MD 21502

Allegany County (301) 724-8847

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 Vikramaditya Poonai's NPI number?

The NPI number for Vikramaditya Poonai is 1851477152. It was assigned to this individual provider in the NPPES registry on October 29, 2006.

Where is Vikramaditya Poonai located?

Vikramaditya Poonai practices at 924 Seton Dr, Cumberland, MD 21502. The listed phone number is (301) 777-5150.

What is Vikramaditya Poonai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vikramaditya Poonai enrolled in Medicare?

Yes. Vikramaditya Poonai 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 organization bills Medicare for Vikramaditya Poonai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vikramaditya Poonai reassigns Medicare benefits to Vik Poonai M D PC (Cumberland, MD). The 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 Vikramaditya Poonai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vikramaditya Poonai accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Vikramaditya Poonai 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 Vikramaditya Poonai affiliated with any hospitals?

According to CMS data, Vikramaditya Poonai is affiliated with Garrett Regional Medical Center, Western Maryland Regional Medical Center, West Virginia University Hospitals, Inc, Hampshire Memorial Hospital and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Vikramaditya Poonai was last updated on May 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.