Poonam Manwani, M.D.
NPI 1609220839 · Rheumatology Physician · Palo Alto, CA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Poonam Manwani, M.D. is a Rheumatology Physician provider in Palo Alto, CA (NPI 1609220839).
Provider details
- NPI number
- 1609220839
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A156469 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 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
517 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 | 188 | $154 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 126 | $216 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 108 | $110 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 73 | $260 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 22 | $199 |
Typical Medicare-allowed amounts for these services range $110–$260 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 |
|---|---|---|
| Prednisone | 185 | 66 |
| Allopurinol | 79 | 19 |
| Methotrexate Sodiumbrand: Methotrexate | 65 | 23 |
| Hydroxychloroquine Sulfate | 51 | 18 |
| Colchicine | 43 | 16 |
| Omeprazole | 39 | 12 |
| Adalimumabbrand: Humira(cf) Pen | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 1 record (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)
- 1802 Yakima Ave Ste 208Tacoma, WA 98405-5304Phone: (253) 382-8390Fax: (253) 382-8398
Registry dates
- Enumerated
- 2016-04-13
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Frequently asked questions
- What is Poonam Manwani's NPI number?
- Poonam Manwani's National Provider Identifier (NPI) is 1609220839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Poonam Manwani's specialty?
- Poonam Manwani is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Poonam Manwani located?
- Poonam Manwani's practice location on file with NPPES is 795 El Camino Real, Palo Alto, CA 94301-2302.
- What is Poonam Manwani's phone number?
- The practice phone number listed in the NPPES registry for Poonam Manwani is (650) 853-2275.
- Does Poonam Manwani accept Medicare?
- Poonam Manwani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Poonam Manwani's NPI active?
- Yes — Poonam Manwani's NPI (1609220839) is active in the NPPES registry as of the last update on 2022-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.