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POOJA KANHYA LAL MD
NPI 1972030492
Internal Medicine - Gastroenterology in Tucson, AZ

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment
89.28/100
CMS Quality Rating
2300 S HOUGHTON RD STE 160, TUCSON, AZ 85748(520) 258-0571(520) 258-0572 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2023, Jul 21, 2022, May 15, 2017 (3 updates tracked since 2017).

About Pooja Kanhya Lal Md NPPES

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

POOJA KANHYA LAL MD (NPI 1972030492) is an individual gastroenterology provider in Tucson, Arizona, licensed in Arizona (67732) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972030492
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePOOJA KANHYA LALCredential: MD
Location Address2300 S HOUGHTON RD STE 160Tucson, AZ 85748-0046
Mailing Address1211 Medical Center DrNashville, TN 37232-0004 · (615) 322-5000
Phone(520) 258-0571
Fax(520) 258-0572
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 15, 2017
Last NPPES UpdateJune 23, 20263 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1972030492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AZ · 67732
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2300 S HOUGHTON RD STE 160, Tucson, AZ 85748
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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 Kanhya Lal 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 ID4082980867
PECOS Enrollment IDI20230823001855
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services106 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
138 services138 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
107 services107 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
104 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services63 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
71 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85748 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
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.

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.

89.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.56
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. VRAJESH PARMAR MD
Internal Medicine
2300 S HOUGHTON RD STE 160
TUCSON, AZ 85748
Pima County (520) 258-0571
KELLY ANDREW LARA
Surgery
2300 S HOUGHTON RD STE 160
TUCSON, AZ 85748
Pima County (520) 352-1083
DR. MARCUS JAMES ADAIR M.D.
Surgery
2300 S HOUGHTON RD STE 160
TUCSON, AZ 85748
Pima County (520) 352-1083
COLIN PRICE MD
Surgery
2300 S HOUGHTON RD STE 160
TUCSON, AZ 85748
Pima County (520) 352-1083

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 Lal's NPI number?

The NPI number for Pooja Lal is 1972030492. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Pooja Lal located?

Pooja Lal practices at 2300 S Houghton Rd Ste 160, Tucson, AZ 85748. The listed phone number is (520) 258-0571.

What is Pooja Lal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Pooja Lal enrolled in Medicare?

Yes. Pooja Lal 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 Lal accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Pooja Lal 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 Lal was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.