DR. SOORAJ POONAWALA D.O.
NPI 1922469105
Family Medicine in New York, NY

Active since March 15, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2790 BROADWAY, APT. 4H, NEW YORK, NY 10025(609) 744-1981 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Nov 5, 2019, Mar 15, 2016 (3 updates tracked since 2016).

About Dr. Sooraj Poonawala D.o. NPPES

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

DR. SOORAJ POONAWALA D.O. (NPI 1922469105) is an individual family medicine provider in New York, New York, licensed in New York (299186) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2016).

NPPES Registry Identity

NPI1922469105
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SOORAJ POONAWALACredential: D.O.
Location Address2790 BROADWAY, APT. 4HNew York, NY 10025-2846
Mailing Address55 Palmer AveBronxville, NY 10708-3403 · (609) 744-1981
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2016
Enumeration DateMarch 15, 2016
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1922469105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 299186
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 299186 (NY)
2790 BROADWAY, New York, NY 10025

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

Dr. Sooraj Poonawala D.o. 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 ID1153753934
PECOS Enrollment IDI20191115002369
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 4

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.
520 services206 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.
157 services149 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services36 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers46 claims46 services$14.84 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$34.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers46 claims46 services$67.45 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

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

Internal Medicine
2790 BROADWAY, APT 2G
NEW YORK, NY 10025

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 Sooraj Poonawala's NPI number?

The NPI number for Sooraj Poonawala is 1922469105. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Sooraj Poonawala located?

Sooraj Poonawala practices at 2790 Broadway Apt. 4H, New York, NY 10025. The listed phone number is (609) 744-1981.

What is Sooraj Poonawala's specialty?

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

Is Sooraj Poonawala enrolled in Medicare?

Yes. Sooraj Poonawala 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 Sooraj Poonawala affiliated with any hospitals?

According to CMS data, Sooraj Poonawala is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Sooraj Poonawala was last updated on April 16, 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.