PRIMA POUDEL (M.D.) – Hospitalist Physician, NPI 1235446436
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PRIMA POUDEL (M.D.)
4502 MEDICAL DR APT 45
SAN ANTONIO, TX 782294402
Phone: (210) 358-4000
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $663.
Total Amount is formed as General ($663) + Research ($0) + Ownership ($0) = $663.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Corcept Therapeutics ($244).
Total Amount
$663
General + Research + Ownership
Payments
8
Total payment records
General Amount
$663
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corcept Therapeutics | $244 |
| Lilly USA, LLC | $120 |
| Lexicon Pharmaceuticals, Inc. | $105 |
| Madrigal Pharmaceuticals | $78 |
| Insulet Corporation | $73 |
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: 2017-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170411002627 | I | Hospitalist | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 175 | 57 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 132 | 55 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 43 | 43 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 78229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine, Hospitalist | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine, Hematology/Oncology | TX | |
| - | TX | |
| Hematology/Oncology, Medical Oncology | TX | |
| - | TX |
Reviews
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