Dr Pooja Kumari, MD - Medicare Rheumatology in Huntersville, NC

Dr Pooja Kumari, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Huntersville, North Carolina. She graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Novant Health Medical Group, Llc and her current practice location is 9920 Kincey Ave Ste 200, Huntersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 302-8170.

Dr Pooja Kumari is licensed to practice in North Carolina (license number 202401656) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194131342.

Contact Information

Dr Pooja Kumari, MD
9920 Kincey Ave Ste 200,
Huntersville, NC 28078-2400
(980) 302-8170
Not Available

Map and Direction




Physician's Profile

Full NameDr Pooja Kumari
GenderFemale
SpecialityRheumatology
Experience15 Years
Location9920 Kincey Ave Ste 200, Huntersville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Pooja Kumari graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1194131342
  • Provider Enumeration Date: 07/09/2014
  • Last Update Date: 01/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254641822
  • Enrollment ID: I20240910000661

Medical Identifiers

Medical identifiers for Dr Pooja Kumari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194131342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 52000 (South Carolina)Secondary
207RR0500XInternal Medicine - Rheumatology T1131 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology 202401656 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Huntersville Medical CenterHuntersville, NCHospital
Novant Health Presbyterian Medical CenterCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Health Medical Group, Llc11532348932144

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pooja Kumari allows following entities to bill medicare on her behalf.
Entity NameNovant Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameThe Presbyterian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053365817
PECOS PAC ID: 1153231907
Enrollment ID: O20040223001121

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pooja Kumari is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pooja Kumari, MD
1671 Spears Dr Nw,
Concord, NC 28027-8763

Ph: (908) 764-3392
Dr Pooja Kumari, MD
9920 Kincey Ave Ste 200,
Huntersville, NC 28078-2400

Ph: (980) 302-8170

Reviews and Comments


Internal Medicine Doctors in Huntersville, NC

Jason Anthony Carnes, MD
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Phone: 980-302-7100    Fax: 980-302-7105
Alexandria Atuahene Opata, M.D.
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Dr. Tiona Kimisha Stephens, M.D.
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Practice Location: 16224 Hollingbourne Rd, Huntersville, NC 28078
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Dr. Thomas P. Stern, M.D.
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Practice Location: 16507 Northcross Dr, Suite F, Huntersville, NC 28078
Phone: 704-248-0000    Fax: 877-335-8171
Lee V Gray Iii, M.D.
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Practice Location: 16511 Northcross Dr Ste A, Huntersville, NC 28078
Phone: 704-896-3313    
William Hoover Iii, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 9735 Kincey Ave Ste 102, Huntersville, NC 28078
Phone: 704-784-5901    Fax: 704-721-0413

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.