JEFFREY G POULOS MD
NPI 1871633776
Internal Medicine in Columbus, OH
About Jeffrey G Poulos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY G POULOS MD (NPI 1871633776) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35.071537) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Jeffrey G Poulos 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.
Medicare Billing Reassignments
5Medicare enrollment records show Jeffrey Poulos reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jamestown, OH 45335
- Reassigned Medicare billing, Ohio enrollment
- 744 clinicians in this Medicare group
Troy, OH 45373
- Reassigned Medicare billing, Ohio enrollment
- 405 clinicians in this Medicare group
Dayton, OH 45409
- Reassigned Medicare billing, Ohio enrollment
- 270 clinicians in this Medicare group
Dayton, OH 45414
- Reassigned Medicare billing, Ohio enrollment
- 151 clinicians in this Medicare group
Middletown, OH 45005
- Reassigned Medicare billing, Ohio enrollment
- 263 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Miami Valley Hospital
Acute Care Hospitals · Dayton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43205 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, OH 43205
COLUMBUS, OH 43205
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 Jeffrey Poulos's NPI number?
The NPI number for Jeffrey Poulos is 1871633776. It was assigned to this individual provider in the NPPES registry on February 8, 2007.
Where is Jeffrey Poulos located?
Jeffrey Poulos practices at 1492 E Broad St, Columbus, OH 43205. The listed phone number is (330) 493-4443.
What is Jeffrey Poulos's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jeffrey Poulos enrolled in Medicare?
Yes. Jeffrey Poulos 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 Jeffrey Poulos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Poulos reassigns Medicare benefits to 5 organizations: Mvhe Inc (Jamestown, OH), Upper Valley Professional Corporation (Troy, OH), Sinclair Physician Services, LLC (Dayton, OH), Samaritan Family Care Inc (Dayton, OH) and Hisey Physician Services, LLC (Middletown, OH). 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 Jeffrey Poulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Poulos accept?
Health plans from CareSource list Jeffrey Poulos 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 Jeffrey Poulos affiliated with any hospitals?
According to CMS data, Jeffrey Poulos is affiliated with Miami Valley Hospital.
When was this NPI record last updated?
The NPPES record for Jeffrey Poulos was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jeffrey G Poulos, MD · NPI 1871633776
Internal Medicine physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1871633776 (Entity type: Individual)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 35.071537 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1492 E BROAD ST, Columbus, OH 43205-1546
- **Phone:** (330) 493-4443
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Mvhe Inc (NPI 1982657318, Jamestown, OH); Upper Valley Professional Corporation (NPI 1407872518, Troy, OH); Sinclair Physician Services, LLC (NPI 1063289601, Dayton, OH); Samaritan Family Care Inc (NPI 1851627228, Dayton, OH); Hisey Physician Services, LLC (NPI 1073380614, Middletown, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 1995
## Record status
- **NPPES last updated:** August 6, 2015
- **Other identifiers:** Medicare PIN H117971 (OH); Medicaid 2095049 (OH); Medicare UPIN G93089
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Source: [NPI Profile](https://npiprofile.com/npi/1871633776) · Data from the CMS NPPES public registry.