Dona Poulose, M.D.
NPI 1770902165 · Rheumatology Physician · Houston, TX
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dona Poulose, M.D. is a Rheumatology Physician provider in Houston, TX (NPI 1770902165).
Provider details
- NPI number
- 1770902165
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- R8967 (TX)
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
12 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
893 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 | 408 | $136 |
| 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 | 383 | $17 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 102 | $174 |
Typical Medicare-allowed amounts for these services range $17–$174 (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 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 239 | 81 |
| Prednisone | 152 | 84 |
| Hydroxychloroquine Sulfate | 129 | 56 |
| Leflunomide | 71 | 29 |
| Alendronate Sodium | 70 | 27 |
| Folic Acid | 64 | 25 |
| Allopurinol | 50 | 14 |
| Adalimumab |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 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
Registry dates
- Enumerated
- 2014-04-14
- Last updated
- 2020-11-27
- Certified
- 2020-11-27
Frequently asked questions
- What is Dona Poulose's NPI number?
- Dona Poulose's National Provider Identifier (NPI) is 1770902165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dona Poulose's specialty?
- Dona Poulose is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dona Poulose located?
- Dona Poulose's practice location on file with NPPES is 7200 Cambridge St Ste 8a, Houston, TX 77030-4202.
- What is Dona Poulose's phone number?
- The practice phone number listed in the NPPES registry for Dona Poulose is (713) 798-7313.
- Does Dona Poulose accept Medicare?
- Dona Poulose is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dona Poulose's NPI active?
- Yes — Dona Poulose's NPI (1770902165) is active in the NPPES registry as of the last update on 2020-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.