Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

POOJA VIJAY PATEL DO
NPI 1902501893
Emergency Medicine in Springfield, MO

Active since March 31, 2023PECOS EnrolledAccepts Medicare Assignment
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-2115 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Sep 29, 2026, Apr 2, 2023 (3 updates tracked since 2023).

About Pooja Vijay Patel Do NPPES

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

POOJA VIJAY PATEL DO (NPI 1902501893) is an individual emergency medicine provider in Springfield, Missouri, licensed in Missouri (2026012373) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902501893
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NamePOOJA VIJAY PATELCredential: DO
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing Address1235 E Cherokee StSpringfield, MO 65804-2203 · (417) 820-2115
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 31, 2023
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1902501893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2026012373
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 2026012373 (MO)
1235 E CHEROKEE ST, Springfield, MO 65804

Secondary Practice Locations 5

Location 13050 E River Bluff BlvdOzark, MO 65721-8807 · Phone (417) 885-3600
Location 2100 Hospital DrLebanon, MO 65536-9210 · Phone (417) 533-6350
Location 32401 Gillham RdKansas City, MO 64108-4619 · Phone (816) 234-3000
Location 494 Main StCassville, MO 65625-1610 · Phone (417) 847-6000
Location 5500 Porter AveAurora, MO 65605-2365 · Phone (417) 678-7888

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

Pooja Vijay Patel 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 ID3870952963
PECOS Enrollment IDI20260813000507
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 Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2301 HOLMES ST
Kansas City, MO 64108
  • Reassigned Medicare billing, Missouri enrollment
  • 518 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 20

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

Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804

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 Patel's NPI number?

The NPI number for Pooja Patel is 1902501893. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Pooja Patel located?

Pooja Patel practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-2115.

What is Pooja Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Pooja Patel enrolled in Medicare?

Yes. Pooja Patel 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 Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Patel reassigns Medicare benefits to University Health Physicians (Kansas City, MO). 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 Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Pooja Patel 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.

When was this NPI record last updated?

The NPPES record for Pooja Patel was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.