Pooja Kumari, MD
NPI 1194131342 · Rheumatology Physician · Huntersville, NC
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pooja Kumari, MD is a Rheumatology Physician provider in Huntersville, NC (NPI 1194131342).
Provider details
- NPI number
- 1194131342
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 52000 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
501 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 305 | $121 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 82 | $158 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 47 | $16 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 39 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $86 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 586 | 160 |
| Methotrexate Sodiumbrand: Methotrexate | 332 | 82 |
| Prednisone | 317 | 163 |
| Leflunomide | 219 | 65 |
| Folic Acid | 152 | 35 |
| Duloxetine Hcl | 94 | 28 |
| Etanerceptbrand: Enbrel Sureclick | 94 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$162 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 2020 Proximity Dr Apt 307Charleston, SC 29414-7940Phone: (908) 764-3392
- University of Tennessee 920 Madison Avenue Suite 447Memphis, TN 38163Phone: (901) 448-6605
- 425 N Highland Ave Ste 200Sherman, TX 75092-7383Phone: (903) 508-4230Fax: (903) 553-4388
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Frequently asked questions
- What is Pooja Kumari's NPI number?
- Pooja Kumari's National Provider Identifier (NPI) is 1194131342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pooja Kumari's specialty?
- Pooja Kumari is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Pooja Kumari located?
- Pooja Kumari's practice location on file with NPPES is 9920 Kincey Ave Ste 200, Huntersville, NC 28078-2400.
- What is Pooja Kumari's phone number?
- The practice phone number listed in the NPPES registry for Pooja Kumari is (980) 302-8170.
- Does Pooja Kumari accept Medicare?
- Pooja Kumari is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pooja Kumari's NPI active?
- Yes — Pooja Kumari's NPI (1194131342) is active in the NPPES registry as of the last update on 2025-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.