Individual provider Active NPI

Pushpa Raj Poudel, MD

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1306158035
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME125134 Issued in FL
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

Updated by the provider on Aug 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
015781700MedicaidFL
0L8A0OtherFLFLORIDA BLUE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppoudel313445@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160315000925 FL Practitioner - Internal MedicinePractitioner - Hospitalist 4981737624 Reassigns benefits to 1 organization
I20171005000864 NC Practitioner - HospitalistPractitioner - Internal Medicine 4981737624 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

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 Hospital, Goldsboro, NC, CCN 340010
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince May 15, 2024 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince Jun 30, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 30, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince May 15, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jul 11, 2024 Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince May 6, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince May 6, 2024 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

  • Direct secure messaging: ppoudel313445@direct.unc.nchie.net
  • Direct secure messaging: ppoudel1721423@direct.novanthealth.org
  • Direct secure messaging: ppoudel707346@direct.shands.ufl.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.