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MITRA POORAK M.D.
NPI 1881072940
Surgery in Greenwood, SC

Active since May 09, 2015PECOS EnrolledAccepts Medicare Assignment
160 ACADEMY AVE, GREENWOOD, SC 29646(864) 725-4111 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Oct 30, 2023, Sep 14, 2020 and 1 more (4 updates tracked since 2016).

About Mitra Poorak M.d. NPPES

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

MITRA POORAK M.D. (NPI 1881072940) is an individual surgery provider in Greenwood, South Carolina, licensed in South Carolina (88999) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881072940
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMITRA POORAKCredential: M.D.
Location Address160 ACADEMY AVEGreenwood, SC 29646-3808
Mailing Address1444 Valley View RdAtlanta, GA 30338-4825 · (404) 516-1024
Phone(864) 725-4111
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2015
Enumeration DateMay 9, 2015
Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1881072940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in SC · 88999✔ Licensed in GA · 008421✔ Licensed in IL · 036-161760
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
160 ACADEMY AVE, Greenwood, SC 29646
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-7005
Location 21301 Sigman Rd NE Ste 180Conyers, GA 30012-3924 · Phone (770) 922-4024

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Medica.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

Mitra Poorak 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 ID547557159
PECOS Enrollment IDI20230503002135
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 20

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

ANAS ABDEL AZIM M.D., M.SC
Surgery (Vascular Surgery)
160 ACADEMY AVE
GREENWOOD, SC 29646
Greenwood County (864) 223-8090
SELF MEDICAL GROUP
Surgery (Vascular Surgery)
160 ACADEMY AVE
GREENWOOD, SC 29646
Greenwood County (864) 223-8090
MARGARET MAYLON BOVARD PA
Physician Assistant (Surgical)
160 ACADEMY AVE
GREENWOOD, SC 29646
Greenwood County (864) 223-8090
GREENWOOD SURGICAL ASSOC.
Surgery
160 ACADEMY AVE
GREENWOOD, SC 29646
Greenwood County (864) 223-8090
CAROLINE DUFFY SOUTER NP
Nurse Practitioner
160 ACADEMY AVE
GREENWOOD, SC 29646
Greenwood County (864) 223-8090
ALEXANDRE WANG
Surgery
160 ACADEMY AVE
GREENWOOD, SC 29646
Greenwood County (864) 223-8090
ALEXANDRA NICOLE LEWIS PA-C
Physician Assistant (Surgical)
160 ACADEMY AVE
GREENWOOD, SC 29646
Greenwood County (862) 233-8090
SANTOSH SWAMINATHAN
Surgery
160 ACADEMY AVE
GREENWOOD, SC 29646
Greenwood County (203) 805-2357

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 Mitra Poorak's NPI number?

The NPI number for Mitra Poorak is 1881072940. It was assigned to this individual provider in the NPPES registry on May 9, 2015.

Where is Mitra Poorak located?

Mitra Poorak practices at 160 Academy Ave, Greenwood, SC 29646. The listed phone number is (864) 725-4111.

What is Mitra Poorak's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mitra Poorak enrolled in Medicare?

Yes. Mitra Poorak 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 Mitra Poorak accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Medica list Mitra Poorak 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 Mitra Poorak affiliated with any hospitals?

According to CMS data, Mitra Poorak is affiliated with Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Mitra Poorak was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.