Active NPI
Poonam Velagapudi, M.D.
- Interventional Cardiology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036149413
- Practice address
- Emile @ 42ND St
Omaha, NE 68198-0001 - Phone
- (402) 559-8888
- Fax
- (402) 559-3060
- NPI assigned
- Jul 7, 2008
- Last updated
- Sep 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 289052 | NY | |
| Interventional Cardiology Physician | 207RI0011X | 036149413 | IL | Primary |
Addresses
Primary practice location
Emile @ 42ND St
Omaha, NE 68198-0001
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Other practice location 1
6810 State Route 162 Ste 102
Maryville, IL 62062-8560
Phone (618) 288-4076
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NY, NE, IL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240
1225 Graham Rd
Suite C 2310
Florissant, MO 63031-8023
Phone (314) 953-6300
262 W 145TH St
Suite a
New York, NY 10039-4104
Phone (347) 970-8875
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289052 | NY | MD | Registered Nurse |
| 036149413 | IL | MD | Interventional Cardiology Physician |
Practice roles
Locations (25 of 33)
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
6810 State Route 162
Ste 102
Maryville, IL 62062
Phone (618) 288-4076
1225 Graham Rd
Ste C-2310
Florissant, MO 63031
Phone (314) 953-6300
11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
272 Main St
#A
Orange, NJ 07050
Phone (862) 212-1084
272 Main St
Ste B
Orange, NJ 07050
Phone (862) 930-1267
30 W Century Rd
Ste 215
Paramus, NJ 07652
Phone (201) 262-2244
30 W Century Rd
Ste 215A
Paramus, NJ 07652
766 Shrewsbury Ave
Ste 300
Tinton Falls, NJ 07724
Phone (732) 228-8346
1949 Westchester Ave
Ste A
Bronx, NY 10462
Phone (929) 254-3405
2157 White Plains Rd
Ste A
Bronx, NY 10462
Phone (347) 532-1845
2157 White Plains Rd
Ste B
Bronx, NY 10462
384 E 149th St
Ste 201
Bronx, NY 10455
384 E 149th St
Ste 201A
Bronx, NY 10455
Phone (844) 723-7240
947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855
441 Knickerbocker Ave
Ste A
Brooklyn, NY 11237
Phone (347) 537-2755
441 Knickerbocker Ave
Ste B
Brooklyn, NY 11237
Phone (347) 773-2684
11602 Queens Blvd
Ste C
Forest Hills, NY 11375
Phone (347) 535-5608
16203 Jamaica Ave
Ste 200C
Jamaica, NY 11432
1264 Saint Nicholas Ave
Ste A
New York, NY 10033
Phone (347) 532-1845
155 Dyckman St
Ste C
New York, NY 10040
Phone (646) 798-3978
177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- New York, NY
- NPI 1033631064
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1720565922
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1003393299
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1730547522
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1922525781
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1285156067
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1063926962
-
dba Department of Medicine
- Internal Medicine Physician
- New York, NY
- NPI 1437176047
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY
-
- Vascular Surgery Physician
- Orange, NJ
- NPI 1437701729
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1861655144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMILE @ 42ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681980001",
"telephone_number": "402-559-8888",
"fax_number": "402-559-3060"
}
],
"practiceLocations": [
{
"address_1": "6810 State Route 162 Ste 102",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "IL",
"postal_code": "620628560",
"country_code": "US",
"telephone_number": "618-288-4076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAGAPUDI",
"first_name": "POONAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "289052",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036149413",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6810 State Route 162",
"address_2": "STE 102",
"city": "Maryville",
"state": "IL",
"country_code": "US",
"postal_code": "62062",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.