Pooja Poudel, MBBS
NPI 1588186142 · Rheumatology Physician · Montgomery, AL
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pooja Poudel, MBBS is a Rheumatology Physician provider in Montgomery, AL (NPI 1588186142).
Provider details
- NPI number
- 1588186142
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 45435 (AL)
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
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
229 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 | 114 | $89 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 77 | $122 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 22 | $60 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 16 | $132 |
Typical Medicare-allowed amounts for these services range $60–$132 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 185 | 88 |
| Methotrexate Sodiumbrand: Methotrexate | 70 | 32 |
| Adalimumabbrand: Humira(cf) Pen | 69 | — |
| Duloxetine Hcl | 44 | 19 |
| Prednisone | 41 | 21 |
| Alendronate Sodium | 26 | 11 |
| Celecoxib | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,359 across 62 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 (1)
- 750 E Adams StSyracuse, NY 13210-2306Phone: (315) 464-5540
Registry dates
- Enumerated
- 2017-07-14
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Frequently asked questions
- What is Pooja Poudel's NPI number?
- Pooja Poudel's National Provider Identifier (NPI) is 1588186142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pooja Poudel's specialty?
- Pooja Poudel is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Pooja Poudel located?
- Pooja Poudel's practice location on file with NPPES is 1722 Pine St, Montgomery, AL 36106.
- What is Pooja Poudel's phone number?
- The practice phone number listed in the NPPES registry for Pooja Poudel is (334) 293-8588.
- Does Pooja Poudel accept Medicare?
- Pooja Poudel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pooja Poudel's NPI active?
- Yes — Pooja Poudel's NPI (1588186142) is active in the NPPES registry as of the last update on 2023-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.