Doctor profile · Federal record
Dr. Sanjay Poudel, MBBS
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Providence, RI
- NPI 1972164853
- Accepts Medicare
- 10 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
164 Summit Ave
Providence, RI 029062894
(401) 793-4489 - Additional location
-
2401 W Belvedere Ave
Baltimore, MD 212155270
(410) 601-7639 - Mailing address
-
117 Ellenfield St Ste 101
Providence, RI 029054541
Credentials & registration
- NPI registered
- June 2019 — 7 yrs on file
- Profile last updated
- June 17, 2022
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Rhode Island #MD18349
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972164853. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
413
Distinct HCPCS
6
Medicare allowed
$43,296
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 207 | 87 | $80 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 63 | 61 | $175 | |
99238 |
Hospital discharge day management, 30 minutes or less | 48 | 47 | $82 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 40 | 38 | $131 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 39 | 28 | $120 | |
99239 |
Hospital discharge day management, more than 30 minutes | 16 | 16 | $116 |
In context: peer comparison
Among 103 peers in Providence Internal Medicine Physician, average services per provider: 76. This provider delivers 5.4× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Sanjay Poudel's medical specialty?
Dr. Sanjay Poudel practices Internal Medicine Physician in Providence, RI.
Where does Dr. Sanjay Poudel practice?
Dr. Sanjay Poudel practices at 164 Summit Ave, Providence, RI 029062894. Office phone: 4017934489.
What is Dr. Sanjay Poudel's NPI?
Dr. Sanjay Poudel's National Provider Identifier (NPI) is 1972164853, issued by NPPES.
Does Dr. Sanjay Poudel accept Medicare assignment?
Yes. Dr. Sanjay Poudel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sanjay Poudel commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with moderate level of medical decision making (HCPCS 99223); Hospital discharge day management (HCPCS 99238). Source: CMS Medicare Physician & Other Practitioners file.