POONAM RAMESH SOMAI M.D.
NPI 1881803492
Internal Medicine - Rheumatology in Nashville, TN

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
4230 HARDING PIKE STE 400, NASHVILLE, TN 37205(615) 297-2700(615) 386-2399 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poonam Ramesh Somai M.d. NPPES

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

POONAM RAMESH SOMAI M.D. (NPI 1881803492) is an individual rheumatology provider in Nashville, Tennessee, licensed in Tennessee (44502) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and maintains a secondary practice location in Gallatin.

NPPES Registry Identity

NPI1881803492
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NamePOONAM RAMESH SOMAICredential: M.D.
Location Address4230 HARDING PIKE STE 400Nashville, TN 37205-4900
Mailing Address2255 Glades Rd Ste 228wBoca Raton, FL 33431-7391 · (561) 320-0996
Fax(615) 386-2399
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 21, 2007
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
NPI 1881803492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TN · 44502
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4230 HARDING PIKE STE 400, Nashville, TN 37205

Secondary Practice Location 1

Location 1110 Saint Blaise Rd Ste 100Gallatin, TN 37066-4442 · Phone (615) 964-5823

Other Identifiers 10

Other1125377TN · Usa Managed Care
Other4232698TN · Blue Cross Of Tn - Tncare, Commercial And Blueadvantage Mcr
OtherTN0127TN · Americhoice-tncare Only
Other12733978TN · Multiplan/phcs
Other9577096TN · Aetna
Medicaid1513306TN
OtherP00743896TN · Medicare Railroad
Other01287061TN · Amerigroup-tncare And Amerivantage Mcr
Other1100865216TN · Usa Ppo/geha
Medicaid7100035590KY

Accepted 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

Poonam Ramesh Somai 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 ID941399059
PECOS Enrollment IDI20090522000287
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 13

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 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.
1,655 services463 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
280 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
126 services96 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
126 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
47 services30 patients

Hospital Affiliations CMS Care Compare

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 12

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

Audiologist
4230 HARDING PIKE STE 400
NASHVILLE, TN 37205
Physician Assistant
4230 HARDING PIKE STE 400
NASHVILLE, TN 37205
Clinic/Center (Ambulatory Surgical)
4230 HARDING PIKE STE 400
NASHVILLE, TN 37205
Otolaryngology (Facial Plastic Surgery)
4230 HARDING PIKE STE 400
NASHVILLE, TN 37205
Physical Therapist
4230 HARDING PIKE STE 400
NASHVILLE, TN 37205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4230 HARDING PIKE STE 400
NASHVILLE, TN 37205
Audiologist
4230 HARDING PIKE STE 400
NASHVILLE, TN 37205
Otolaryngology
4230 HARDING PIKE STE 400
NASHVILLE, TN 37205

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 Poonam Somai's NPI number?

The NPI number for Poonam Somai is 1881803492. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Poonam Somai located?

Poonam Somai practices at 4230 Harding Pike Ste 400, Nashville, TN 37205. The listed phone number is (615) 297-2700.

What is Poonam Somai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Poonam Somai enrolled in Medicare?

Yes. Poonam Somai 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 Poonam Somai accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Poonam Somai 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 Poonam Somai affiliated with any hospitals?

According to CMS data, Poonam Somai is affiliated with Sumner Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Poonam Somai was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.