POOJA M PATEL MD
NPI 1912434317
Family Medicine in Olympia, WA

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
525 LILLY RD NE, OLYMPIA, WA 98506(360) 493-7230(360) 493-4180 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 23, 2021, Nov 4, 2019 and 1 more (4 updates tracked since 2017).

About Pooja M Patel Md NPPES

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

POOJA M PATEL MD (NPI 1912434317) is an individual family medicine provider in Olympia, Washington, licensed in Washington (MD60998218) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (2017).

NPPES Registry Identity

NPI1912434317
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePOOJA M PATELCredential: MD
Location Address525 LILLY RD NEOlympia, WA 98506-5101
Mailing Address525 Lilly Rd NeOlympia, WA 98506-5101 · (360) 493-7230 · Fax (360) 493-4180
Fax(360) 493-4180
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2017
Enumeration DateMay 16, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
NPI 1912434317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD60998218
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
525 LILLY RD NE, Olympia, WA 98506

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

Pooja M Patel Md 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 ID3072865591
PECOS Enrollment IDI20200520002974
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.

Hospital Affiliations CMS Care Compare 2

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims34 services$5.83 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims390 services$5.83 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims6,660 services$0.39 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
525 LILLY RD NE
OLYMPIA, WA 98506
Student in an Organized Health Care Education/Training Program
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine (Adolescent Medicine)
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Nurse Practitioner
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Pharmacist
525 LILLY RD NE
OLYMPIA, WA 98506

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 1912434317. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Pooja Patel located?

Pooja Patel practices at 525 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-7230.

What is Pooja Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.

What insurance does Pooja Patel accept?

Health plans from Premera Blue Cross Blue Shield of Alaska 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.

Is Pooja Patel affiliated with any hospitals?

According to CMS data, Pooja Patel is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Pooja Patel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.