Pooja Pothiwala, MD
NPI 1316071830 · Endocrinology, Diabetes & Metabolism Physician · Venice, FL
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pooja Pothiwala, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Venice, FL (NPI 1316071830).
Provider details
- NPI number
- 1316071830
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME110866 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,393 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 | 1,254 | $123 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 434 | $34 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 398 | $9 |
| Thyroxine (thyroid Chemical), Free84439 | 359 | $9 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 358 | $16 |
| Hemoglobin A1c Level83036 | 322 | $9 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 63 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 784 | 246 |
| Metformin Hcl | 251 | 82 |
| Levothyroxine Sodiumbrand: Synthroid | 214 | 65 |
| Semaglutidebrand: Ozempic | 210 | 63 |
| Tirzepatidebrand: Mounjaro | 192 | 48 |
| Insulin Glargine/Lixisenatidebrand: Soliqua 100-33 | 187 | 52 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$827 across 42 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
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Frequently asked questions
- What is Pooja Pothiwala's NPI number?
- Pooja Pothiwala's National Provider Identifier (NPI) is 1316071830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pooja Pothiwala's specialty?
- Pooja Pothiwala is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Pooja Pothiwala located?
- Pooja Pothiwala's practice location on file with NPPES is 1700 E Venice Ave Ste C, Venice, FL 34292-3190.
- What is Pooja Pothiwala's phone number?
- The practice phone number listed in the NPPES registry for Pooja Pothiwala is (941) 499-0800.
- Does Pooja Pothiwala accept Medicare?
- Pooja Pothiwala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pooja Pothiwala's NPI active?
- Yes — Pooja Pothiwala's NPI (1316071830) is active in the NPPES registry as of the last update on 2025-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.