POOJA VERMA M.D
NPI 1932496098
Hospitalist in Warwick, RI

Active since July 08, 2011PECOS EnrolledAccepts Medicare Assignment
455 TOLL GATE RD, KENT HOSPITAL,, WARWICK, RI 02886(401) 737-7000 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pooja Verma M.d NPPES

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

POOJA VERMA M.D (NPI 1932496098) is an individual hospitalist provider in Warwick, Rhode Island, licensed in Rhode Island (MD14649) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932496098
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePOOJA VERMACredential: M.D
Location Address455 TOLL GATE RD, KENT HOSPITAL,Warwick, RI 02886
Mailing Address455 Toll Gate Rd, Kent Hospital,Warwick, RI 02886 · (401) 737-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 8, 2011
Last NPPES UpdateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
NPI 1932496098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in RI · MD14649
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
455 TOLL GATE RD, Warwick, RI 02886

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 Verma 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 ID4486893146
PECOS Enrollment IDI20140821002268
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 6

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.
168 services93 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.
110 services63 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.
85 services84 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services20 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.
20 services20 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 2

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
1 supplier16 claims17 services$14.48 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
1 supplier16 claims17 services$63.65 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.

Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Adult Health)
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Family)
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Family Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Anesthesiology
455 TOLL GATE RD
WARWICK, RI 02886

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 Verma's NPI number?

The NPI number for Pooja Verma is 1932496098. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Pooja Verma located?

Pooja Verma practices at 455 Toll Gate Rd Kent Hospital,, Warwick, RI 02886. The listed phone number is (401) 737-7000.

What is Pooja Verma's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pooja Verma enrolled in Medicare?

Yes. Pooja Verma 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 Verma affiliated with any hospitals?

According to CMS data, Pooja Verma is affiliated with Rhode Island Hospital and Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Pooja Verma was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.