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DR. MON C POULOSE MD
NPI 1982835526
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Active since July 30, 2009PECOS EnrolledAccepts Medicare Assignment
3225 N EVERGREEN DRIVE NE, SUITE 301, GRAND RAPIDS, MI 49525(716) 348-7834(616) 364-6400 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mon C Poulose Md NPPES

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

DR. MON C POULOSE MD (NPI 1982835526) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (4301099983) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1982835526
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MON C POULOSECredential: MD
Location Address3225 N EVERGREEN DRIVE NE, SUITE 301Grand Rapids, MI 49525
Mailing Address3225 N Evergreen Drive Ne, Suite 301Grand Rapids, MI 49525 · (716) 348-7834 · Fax (616) 364-6400
Phone(716) 348-7834
Fax(616) 364-6400
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 30, 2009
Last NPPES UpdateJanuary 29, 2014
✔ NPI 1982835526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 4301099983
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
3225 N EVERGREEN DRIVE NE, Grand Rapids, MI 49525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Mon C Poulose 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 ID5698919652
PECOS Enrollment IDI20130913000436
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.

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.
129 services47 patients
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.
27 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mon Poulose's NPI number?

The NPI number for Mon Poulose is 1982835526. It was assigned to this individual provider in the NPPES registry on July 30, 2009.

Where is Mon Poulose located?

Mon Poulose practices at 3225 N Evergreen Drive NE Suite 301, Grand Rapids, MI 49525. The listed phone number is (716) 348-7834.

What is Mon Poulose's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mon Poulose enrolled in Medicare?

Yes. Mon Poulose 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 Mon Poulose accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Mon Poulose 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 Mon Poulose was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.