Active NPI
Pushpa Raj Poudel, MD
- Internal Medicine Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME125134
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-2346 - Phone
- (352) 265-5911
- Fax
- (352) 265-5606
- NPI assigned
- Jul 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME125134 | FL | |
| Hospitalist Physician | 208M00000X | 2014-02134 | NC | |
| Internal Medicine Physician | 207R00000X | ME125134 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-2346
Mailing address
PO Box 100186
Gainesville, FL 32610-0186
Phone (352) 265-5911
Other practice location 1
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5618
Other practice location 2
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 587-4394
Other practice location 3
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015781700 | Medicaid | FL | |
| 0L8A0 | Other | FL | FLORIDA BLUE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ppoudel313445@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-0720
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 587-4394
288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5000
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7597
Hospital & facility affiliations
- Unc Health Care Wayne
- Novant Health Brunswick Medical Center
- Novant Health Mint Hill Medical Center
- Carolinas Medical Center-Northeast
- Haywood Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Internal Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Internal Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Sound Physicians of Wyoming, LLC | Internal Medicine | Past | Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- ppoudel313445@direct.unc.nchie.net
- ppoudel1721423@direct.novanthealth.org
- ppoudel707346@direct.shands.ufl.edu
- ppoudel2871253@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Hospitalist Physician
- Charlotte, NC
- NPI 1306855846
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Hospitalist Physician
- Charlotte, NC
- NPI 1851331359
Internal Medicine
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- General Acute Care Hospital
- Clyde, NC
- NPI 1811158215
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
-
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1306158035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100186",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100186",
"telephone_number": "352-265-5911",
"fax_number": "352-265-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326102346",
"telephone_number": "352-265-5911",
"fax_number": "352-265-5606"
}
],
"practiceLocations": [
{
"address_1": "200 SE Hospital Ave",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349942346",
"country_code": "US",
"telephone_number": "772-223-5618",
"fax_number": "772-288-5834",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 Wayne Memorial Dr",
"address_purpose": "LOCATION",
"city": "Goldsboro",
"state": "NC",
"postal_code": "275349494",
"country_code": "US",
"telephone_number": "919-587-4394",
"fax_number": "919-587-2998",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 Mocksville Ave",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281442732",
"country_code": "US",
"telephone_number": "704-210-5260",
"fax_number": "704-210-5265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POUDEL",
"first_name": "PUSHPA",
"middle_name": "RAJ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-10",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME125134",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2014-02134",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME125134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015781700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "0L8A0",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppoudel313445@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2700 Wayne Memorial Dr",
"city": "Goldsboro",
"state": "NC",
"country_code": "US",
"postal_code": "275349494",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.