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POOJA ADHIKARI
NPI 1881414415
Nurse Practitioner - Family in New London, OH

Active since October 17, 2024PECOS EnrolledAccepts Medicare Assignment
187 W MAIN ST, NEW LONDON, OH 44851(419) 929-0814(419) 929-0814 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pooja Adhikari NPPES

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

POOJA ADHIKARI (NPI 1881414415) is an individual family provider in New London, Ohio, licensed in Ohio (0034801) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Fisher-titus Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2023).

NPPES Registry Identity

NPI1881414415
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePOOJA ADHIKARI
Location Address187 W MAIN STNew London, OH 44851-1018
Mailing Address187 W Main StNew London, OH 44851-1018 · (419) 929-0814 · Fax (419) 929-0814
Phone(419) 929-0814
Fax(419) 929-0814
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2023
Enumeration DateOctober 17, 2024
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1881414415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 0034801
187 W MAIN ST, New London, OH 44851
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 Adhikari 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 ID2860918042
PECOS Enrollment IDI20250430002472
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 Adhikari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fisher-Titus Medical Care LLC
15 mi
Family Medicine
272 BENEDICT AVENUE
Norwalk, OH 44857
  • Reassigned Medicare billing, Ohio enrollment
  • 137 clinicians in this Medicare group
NPI 1467636399 (419) 668-8101

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.

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44851 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 5

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

NEW LONDON FAMILY PRACTICE,LLC
Family Medicine
187 W MAIN ST
NEW LONDON, OH 44851
Huron County (419) 929-4357
KELSEY ELIZABETH NORCROSS FNP
Nurse Practitioner (Family)
187 W MAIN ST
NEW LONDON, OH 44851
Huron County (419) 929-4357
JEFFREY A HARWOOD M.D.
Family Medicine
187 W MAIN ST
NEW LONDON, OH 44851
Huron County (419) 929-4357
AKASH SHAH MD
Family Medicine
187 W MAIN ST
NEW LONDON, OH 44851
Huron County (419) 929-4357
NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
187 W MAIN ST
NEW LONDON, OH 44851
Huron County (419) 660-0099

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 Adhikari's NPI number?

The NPI number for Pooja Adhikari is 1881414415. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Where is Pooja Adhikari located?

Pooja Adhikari practices at 187 W Main St, New London, OH 44851. The listed phone number is (419) 929-0814.

What is Pooja Adhikari's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pooja Adhikari enrolled in Medicare?

Yes. Pooja Adhikari 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 Adhikari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Adhikari reassigns Medicare benefits to Fisher-Titus Medical Care LLC (Norwalk, OH). 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 Adhikari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Adhikari accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Pooja Adhikari 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 Adhikari affiliated with any hospitals?

According to CMS data, Pooja Adhikari is affiliated with Fisher-Titus Hospital.

When was this NPI record last updated?

The NPPES record for Pooja Adhikari was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.