POONAM KHADKA (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1750652822

POONAM KHADKA (M.D.) is a healthcare provider. based in Lewiston, Maine. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD20656 (ME). The NPI Number for POONAM KHADKA (M.D.) is 1750652822

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
POONAM KHADKA (M.D.)
NPI
1750652822
Phone
(207) 777-8560
Address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
Enumeration Date
22 January 2012
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079073300
Graduation Year
2005 (21 years ago)
PAC ID
4789992504
Group Practice PAC ID
6406766336
Professional Enrollment ID
I20150929000354
Address ID
ME044011900BA900XXBROA200
Telehealth
Yes

Contacts

Secure Messaging
pkhadka613911@direct-prd.goodhelpconnections.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

32 ENDOCRINOLOGY in ME

Provider Addresses for POONAM KHADKA (M.D.)

  • C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT

    PO BOX 7291

    LEWISTON, ME 042437291

    Phone: (207) 777-8560

    Fax: (207) 777-8800

    Type: Mailing

  • 900 BROADWAY

    BANGOR, ME 044011900

    Phone: (207) 907-1187

    Fax: (207) 907-1189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150929000354IEndocrinologyMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes234212$0
76536Ultrasound scan of head and neck soft tissue9694$0
99204New patient office or other outpatient visit, 45-59 minutes7171$0
99215Established patient office or other outpatient visit, 40-54 minutes6160$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 04243)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406766336View full group profile
NameSpecialtyState
Orthopedic SurgeryNY
Internal MedicineME
Family PracticeME
G A S T R O E N T E R O L O G YME
Internal MedicineME
G A S T R O E N T E R O L O G YME
Physician AssistantME
Pulmonary Disease, Critical Care (Intensivists)ME
Orthopedic SurgeryNY
Certified Registered Nurse Anesthetist (Crna)ME

Reviews

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Frequently asked questions

What is the 10-digit NPI for POONAM KHADKA (M.D.)?
POONAM KHADKA (M.D.) — NPI 1750652822 — is the standard way to identify this listing.
Is POONAM KHADKA (M.D.) listed as active for patients and plans?
The listing shows POONAM KHADKA (M.D.) as active in the NPI system.
What is POONAM KHADKA (M.D.)'s primary classification?
Endocrinology, Diabetes & Metabolism Physician is the headline specialty for POONAM KHADKA (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does POONAM KHADKA (M.D.) serve?
POONAM KHADKA (M.D.)'s listing highlights Lewiston, Maine; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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