Shiva Poola, MD in Concord, NC - Medicare Internal Medicine

Shiva Poola, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Concord, North Carolina. His current practice location is 1070 Vinehaven Dr Ne, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 783-1840.

Shiva Poola is licensed to practice in North Carolina (license number 228515) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437543642.

Contact Information

	Shiva Poola, MD
	1070 Vinehaven Dr Ne, Concord, NC 28025-2438
	(704) 783-1840
	Not Available

Map and Direction

Physician's Profile

Full Name	Shiva Poola
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	1070 Vinehaven Dr Ne, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437543642
Provider Enumeration Date: 03/25/2015
Last Update Date: 09/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6305153776
Enrollment ID: I20240518000118

Medical Identifiers

Medical identifiers for Shiva Poola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437543642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	228515 (North Carolina)	Primary
207RG0100X	Internal Medicine - Gastroenterology	1018174 (Massachusetts)	Secondary

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. Shiva Poola allows following entities to bill medicare on his behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

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. Shiva Poola 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 Address	Practice Location Address
Shiva Poola, MD 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 Ph: () -	Shiva Poola, MD 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 Ph: (704) 783-1840

Reviews and Comments

Internal Medicine Doctors in Concord, NC

Leonard Alexander Stallings, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1311
Chelsea Elaine Meloche, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Park Dr, Ste 210, Concord, NC 28025 Phone: 704-403-6100
Dr. Vinay Patel, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1070 Vinehaven Dr Ne, Concord, NC 28025 Phone: 704-783-1840 Fax: 704-783-1850
Aishwarya Palwai, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1311
Meghan Rebecca Steiner, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Ste 110, Concord, NC 28025 Phone: 704-403-1370
Ashley Noisette Green, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Ste 330, Concord, NC 28025 Phone: 704-403-1308
Stephen Sean Zouzoulas, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Ste 210, Concord, NC 28025 Phone: 704-403-6100

Shiva Poola, MD - Medicare Internal Medicine in Concord, NC