Individual provider Active NPI

Rosina Poudel, MD

  • Internal Medicine Physician
  • Houma, LA
National Provider Identifier
1417486176
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A170241 Issued in CA
Practice address
1978 Industrial Blvd
Houma, LA 70363-7055
Phone
(985) 873-2200
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 A170241 CA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A170241 CA Primary

Addresses

Primary practice location

1978 Industrial Blvd
Houma, LA 70363-7055

Mailing address

12618 Hawthorne Blvd
Hawthorne, CA 90250-3907
Phone (310) 263-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210316001858 CA Practitioner - Internal MedicinePractitioner - Hospitalist 3072887397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

12618 Hawthorne Blvd
Hawthorne, CA 90250-3907
Phone (310) 263-5700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A170241CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 11, 2021 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Astrana Care Hospitalists, a Medical Corporation Hospitalist CurrentSince Feb 1, 2021 Accepting new patients
Providence Medical Institute Internal Medicine Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist CurrentSince Oct 11, 2021 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

12618 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 263-5700

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1417486176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12618 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503907",
            "telephone_number": "310-263-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-873-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUDEL",
        "first_name": "ROSINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A170241",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A170241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.