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POOJA SARAIYA DO
NPI 1891356929
Internal Medicine in Bethlehem, PA

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
801 OSTRUM ST DEPT OF, BETHLEHEM, PA 18015(484) 526-4644 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pooja Saraiya Do NPPES

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

POOJA SARAIYA DO (NPI 1891356929) is an individual internal medicine provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (OS022308) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2019).

NPPES Registry Identity

NPI1891356929
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePOOJA SARAIYACredential: DO
Location Address801 OSTRUM ST DEPT OFBethlehem, PA 18015-1000
Mailing Address801 Ostrum St Dept OfBethlehem, PA 18015-1000
Phone(484) 526-4644
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2019
Enumeration DateJune 28, 2019
Last NPPES UpdateDecember 20, 2024
NPPES CertifiedDecember 20, 2024
✔ NPI 1891356929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS022308
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.
801 OSTRUM ST DEPT OF, Bethlehem, PA 18015
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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

Pooja Saraiya Do 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 ID6709262215
PECOS Enrollment IDI20221006003399
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
328 services148 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
97 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
78 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

JACOB WYATT ALDER MD
Student in an Organized Health Care Education/Training Program
801 OSTRUM ST DEPT OF
BETHLEHEM, PA 18015
Northampton County (866) 785-8537
STEVEN KYLE PULLIAM MD
Radiology (Diagnostic Radiology)
801 OSTRUM ST DEPT OF
BETHLEHEM, PA 18015
Northampton County (484) 526-4704
ANDREW MARK SHURMAN MD
Radiology (Neuroradiology)
801 OSTRUM ST DEPT OF
BETHLEHEM, PA 18015
Northampton County (484) 526-4000
NEERAJ KHIYANI MD
Radiology (Diagnostic Radiology)
801 OSTRUM ST DEPT OF
BETHLEHEM, PA 18015
Northampton County (484) 526-4644

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 Saraiya's NPI number?

The NPI number for Pooja Saraiya is 1891356929. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Pooja Saraiya located?

Pooja Saraiya practices at 801 Ostrum St Dept Of, Bethlehem, PA 18015. The listed phone number is (484) 526-4644.

What is Pooja Saraiya's specialty?

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

Is Pooja Saraiya enrolled in Medicare?

Yes. Pooja Saraiya 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.

Is Pooja Saraiya affiliated with any hospitals?

According to CMS data, Pooja Saraiya is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Pooja Saraiya was last updated on December 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.