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POOJA NAIK MD
NPI 1851825640
Internal Medicine in Frisco, TX

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
8195 CUSTER ROAD, SUITE 110, FRISCO, TX 75035(214) 666-6259 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2026, Feb 4, 2026, Mar 31, 2023 and 5 more (8 updates tracked since 2017).

About Pooja Naik Md NPPES

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

POOJA NAIK MD (NPI 1851825640) is an individual internal medicine provider in Frisco, Texas, licensed in Texas (T9455) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and maintains a secondary practice location in Prosper.

NPPES Registry Identity

NPI1851825640
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePOOJA NAIKCredential: MD
Location Address8195 CUSTER ROAD, SUITE 110Frisco, TX 75035
Mailing Address230 O Connor Ridge Blvd Ste 110Irving, TX 75038-6513 · (214) 666-6259
Phone(214) 666-6259
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 18, 2017
Last NPPES UpdateMay 18, 20268 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1851825640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · T9455
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.
8195 CUSTER ROAD, Frisco, TX 75035
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Secondary Practice Location 1

Location 11630 W Prosper Trl Ste 430Prosper, TX 75078-3742 · Phone (214) 666-6259

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pooja Naik 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 ID2466721402
PECOS Enrollment IDI20230224000817
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 Pooja Naik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Php Ins Tx PLLC
Same address
Internal Medicine
8195 CUSTER ROAD, STE 110
Frisco, TX 75035
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1306455712 (214) 666-6259

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 8

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.
46 services33 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.
34 services31 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.
15 services14 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
13 services13 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
12 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

PHP INS TX PLLC
Internal Medicine
8195 CUSTER ROAD, STE 110
FRISCO, TX 75035
Collin County (214) 666-6259
KAROLINA CROCKETT PT, DPT
Physical Therapist
8195 CUSTER ROAD, SUITE 100
FRISCO, TX 75035
Collin County (940) 241-1215

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 Naik's NPI number?

The NPI number for Pooja Naik is 1851825640. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Pooja Naik located?

Pooja Naik practices at 8195 Custer Road Suite 110, Frisco, TX 75035. The listed phone number is (214) 666-6259.

What is Pooja Naik's specialty?

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

Is Pooja Naik enrolled in Medicare?

Yes. Pooja Naik 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 Pooja Naik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Naik reassigns Medicare benefits to Php Ins Tx PLLC (Frisco, TX). 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 Pooja Naik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Naik accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Pooja Naik 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 Naik affiliated with any hospitals?

According to CMS data, Pooja Naik is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Pooja Naik was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.