GAVELYN POONNOPATAM DO
NPI 1962021378
Family Medicine in Sierra Vista, AZ

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
155 CALLE PORTAL, SIERRA VISTA, AZ 85635(520) 364-1429 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2023, Apr 15, 2020 (2 updates tracked since 2020).

About Gavelyn Poonnopatam Do NPPES

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

GAVELYN POONNOPATAM DO (NPI 1962021378) is an individual family medicine provider in Sierra Vista, Arizona, licensed in Arizona (010273) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2020).

NPPES Registry Identity

NPI1962021378
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGAVELYN POONNOPATAMCredential: DO
Location Address155 CALLE PORTALSierra Vista, AZ 85635-2900
Mailing Address155 Calle PortalSierra Vista, AZ 85635-2900 · (520) 364-1429
Sole ProprietorNo
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
NPI 1962021378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 010273
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.

155 CALLE PORTAL, Sierra Vista, AZ 85635

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

Gavelyn Poonnopatam 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 ID547614984
PECOS Enrollment IDI20231003003602
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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Pediatrics
155 CALLE PORTAL, SUITE 200
SIERRA VISTA, AZ 85635
Internal Medicine (Nephrology)
155 CALLE PORTAL, SUITE 400
SIERRA VISTA, AZ 85635
Pediatrics
155 CALLE PORTAL, SUITE 700
SIERRA VISTA, AZ 85635
Pharmacist
155 CALLE PORTAL
SIERRA VISTA, AZ 85635
Psychologist
155 CALLE PORTAL, SUITE 300
SIERRA VISTA, AZ 85635
Family Medicine (Adult Medicine)
155 CALLE PORTAL, SUITE 600
SIERRA VISTA, AZ 85635
Nurse Practitioner
155 CALLE PORTAL
SIERRA VISTA, AZ 85635
Clinic/Center (Federally Qualified Health Center (FQHC))
155 CALLE PORTAL, SUITE 300
SIERRA VISTA, AZ 85635

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 Gavelyn Poonnopatam's NPI number?

The NPI number for Gavelyn Poonnopatam is 1962021378. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Gavelyn Poonnopatam located?

Gavelyn Poonnopatam practices at 155 Calle Portal, Sierra Vista, AZ 85635. The listed phone number is (520) 364-1429.

What is Gavelyn Poonnopatam's specialty?

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

Is Gavelyn Poonnopatam enrolled in Medicare?

Yes. Gavelyn Poonnopatam 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 Gavelyn Poonnopatam accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Gavelyn Poonnopatam 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 Gavelyn Poonnopatam was last updated on August 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.