POONAM C PATEL (PA-C) – Physician Assistant, NPI 1720430622

POONAM C PATEL (PA-C) is a healthcare provider. based in Bensalem, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00450200 (NJ). The NPI Number for POONAM C PATEL (PA-C) is 1720430622

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
POONAM C PATEL (PA-C)
NPI
1720430622
Phone
(856) 534-3092
Address
2198 LILLIAN DR
Enumeration Date
5 July 2016
Last Update Date
1 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7329069600
Graduation Year
2015 (11 years ago)
PAC ID
5991099202
Group Practice PAC ID
6608264833
Professional Enrollment ID
I20240509002233
Address ID
NJ070835675UN2500XAVEX303

Contacts

Secure Messaging
Poonam.Patel.1@21449.direct.athenahealth.com
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness95
Years active:9State licenses:2Other names

9,738 PHYSICIAN ASSISTANT in PA

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Provider Addresses for POONAM C PATEL (PA-C)

  • Lillian Drive, Bensalem, Bensalem Township, Bucks County, Pennsylvania, 19020, United States

    BENSALEM, PA 190202972

    Phone: (856) 534-3092

    Type: Mailing

  • Pottstown Hospital, 1600, East High Street, Pottstown, Montgomery County, Pennsylvania, 19464, United States

    POTTSTOWN, PA 194645008

    Phone: (610) 327-7000

    Type: Location

  • 90 MATAWAN RD STE 302

    MATAWAN, NJ 077472653

    Phone: (732) 441-7177

    Fax: (732) 441-7165

    Type: Mailing

  • 123 FRANKLIN CORNER RD STE 114

    LAWRENCEVILLE, NJ 086482526

    Phone: (609) 512-1690

    Fax: (609) 512-1674

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($171).

Total Amount

$184

General + Research + Ownership

Payments

12

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2024-05-09

PECOS data refreshed: 2026-06-15

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
I20240509002233IPhysician AssistantNJTBD

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 19020)

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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: 6608264833View full group profile
NameSpecialtyState
C H I R O P R A C T I CNJ
Physical Medicine And RehabilitationDE
Interventional Pain Management, Pain Management, Physical Medicine And RehabilitationNJ
Physician AssistantNJ
Interventional Pain Management, Pain Management, Physical Medicine And RehabilitationNJ
Interventional Pain Management, AnesthesiologyNJ
Physician AssistantNJ
Physician AssistantNJ
Interventional Pain Management, Physical Medicine And RehabilitationNJ
Clinical PsychologistNJ

Reviews

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Frequently asked questions

How is POONAM C PATEL (PA-C) identified in CMS data?
CMS-hosted NPPES data lists POONAM C PATEL (PA-C) with NPI 1720430622.
Can I rely on POONAM C PATEL (PA-C) being an active provider?
As of the registry snapshot, POONAM C PATEL (PA-C) is marked active.
What is POONAM C PATEL (PA-C)'s specialty?
The listing groups POONAM C PATEL (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does POONAM C PATEL (PA-C) list a practice location?
Patients near Bensalem, Pennsylvania may find POONAM C PATEL (PA-C) in results; validate coverage separately.
Is the information about POONAM C PATEL (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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