POONAM PATEL (M.D.) – Pediatrics Physician, NPI 1770005902

POONAM PATEL (M.D.) is a healthcare provider. based in Royal oak, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301504732 (MI). The NPI Number for POONAM PATEL (M.D.) is 1770005902

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
POONAM PATEL (M.D.)
NPI
1770005902
Phone
(248) 551-2047
Address
3601 W 13 MILE RD
Enumeration Date
10 July 2017
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143905559
Graduation Year
2017 (9 years ago)
PAC ID
1456759950
Group Practice PAC ID
1153735287
Professional Enrollment ID
I20211014000876
Address ID
MI480212793EA21811RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for POONAM PATEL (M.D.)

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (248) 551-2047

    Fax: (248) 551-2092

    Type: Mailing

  • 7050 ULMERTON RD

    LARGO, FL 337715003

    Phone: (727) 777-4540

    Fax: (727) 248-0432

    Type: Mailing

  • 21811 KELLY RD

    EASTPOINTE, MI 480212704

    Phone: (586) 649-3388

    Fax: (586) 842-3766

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-10-26 • Largest payer in this snapshot: Dexcom, Inc. ($16).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-10-14

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
I20211014000876IInternal MedicineMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48073)

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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: 1153735287View full group profile
NameSpecialtyState
Internal MedicineMI
Family PracticeMI
Internal MedicineVA
Family PracticeMI
Internal MedicineMI
Internal MedicineMI
Family PracticeMI
Family PracticeMI
Internal MedicineNY
Family PracticeMD

Reviews

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Frequently asked questions

Is there an official ID for POONAM PATEL (M.D.) in U.S. healthcare records?
The official identifier for POONAM PATEL (M.D.) is NPI 1770005902.
Is POONAM PATEL (M.D.) shown as active in public data?
Registry records indicate POONAM PATEL (M.D.) maintains an active NPI.
What area of care is associated with POONAM PATEL (M.D.)?
POONAM PATEL (M.D.)'s record emphasizes Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for POONAM PATEL (M.D.)?
Travel planning: use Royal Oak, Michigan as the reference point for POONAM PATEL (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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