Dr Pushpa Raj Poudel, MD - Medicare Hospitalist in Gainesville, FL

Dr Pushpa Raj Poudel, MD is a medicare enrolled "Internal Medicine" physician in Gainesville, Florida. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Martin Memorial Physicians Corporation Inc and his current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 265-5911.

Dr Pushpa Raj Poudel is licensed to practice in Florida (license number ME125134) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306158035.

Contact Information

Dr Pushpa Raj Poudel, MD
1600 Sw Archer Rd,
Gainesville, FL 32610-2346
(352) 265-5911
(352) 265-5606

Map and Direction




Physician's Profile

Full NameDr Pushpa Raj Poudel
GenderMale
SpecialityHospitalist
Experience20 Years
Location1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Pushpa Raj Poudel graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1306158035
  • Provider Enumeration Date: 07/10/2010
  • Last Update Date: 05/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981737624
  • Enrollment ID: I20160315000925

Medical Identifiers

Medical identifiers for Dr Pushpa Raj Poudel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306158035NPI-NPPES
0L8A0OtherFLFLORIDA BLUE
015781700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist ME125134 (Florida)Secondary
207R00000XInternal Medicine ME125134 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cleveland Clinic Martin North HospitalStuart, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Martin Memorial Physicians Corporation Inc7315833555372

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 Pushpa Raj Poudel allows following entities to bill medicare on his behalf.
Entity NameMartin Memorial Physicians Corporation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578505228
PECOS PAC ID: 7315833555
Enrollment ID: O20040225000440

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 Pushpa Raj Poudel 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 Pushpa Raj Poudel, MD
Po Box 100186,
Gainesville, FL 32610-0186

Ph: (352) 265-5911
Dr Pushpa Raj Poudel, MD
1600 Sw Archer Rd,
Gainesville, FL 32610-2346

Ph: (352) 265-5911

Reviews and Comments


Internal Medicine Doctors in Gainesville, FL

Dr. Sheetal Patel, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608
Phone: 800-324-8387    
Dr. Talal Seoud, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-9400    Fax: 352-627-4268
Eric I Rosenberg, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-0651    Fax: 352-265-0153
Dr. Eric Padron, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-0239    Fax: 352-338-9879
Osman S Farooq, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-559-5051    
Ilie Toma Barb, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4645 Nw 8th Ave, Gainesville, FL 32605
Phone: 352-264-2500    Fax: 352-416-0135
Fernando Ortiz, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4645 Nw 8th Ave, Gainesville, FL 32605
Phone: 352-375-1212    Fax: 352-371-4650

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.