Individual provider Active NPI

Poonam Velagapudi, M.D.

  • Interventional Cardiology Physician
  • Omaha, NE
National Provider Identifier
1861655144
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036149413 Issued in IL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, NJ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20140911000820 MO Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9436328838 Reassigns benefits to 1 organization
I20170619000157 NY Practitioner - Cardiovascular Disease (Cardiology) 9436328838 Reassigns benefits to 10 organizations
I20181107003162 NE Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9436328838 Reassigns benefits to 1 organization
I20241209000781 IL Practitioner - Interventional Cardiology 9436328838 Reassigns benefits to 1 organization
I20251129000683 NJ Practitioner - Interventional Cardiology 9436328838 Reassigns benefits to 2 organizations

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
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
St Nicholas Professional Medical Services of New York LLCGroup PAC ID 7618231457, 12 clinicians

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

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289052NYMDRegistered Nurse
036149413ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bushwick Professional Medical Services of New York LLC CurrentSince Jan 1, 2026 Accepting new patients
St. Nicholas Professional Medical Services of New York LLC CurrentSince Jan 1, 2026 Accepting new patients
Altru Health System Current Accepting new patients
Pelham Pkwy Professional Medical Services of New York LLC CurrentSince Jan 1, 2026 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Dec 1, 2024 Accepting new patients
USA Vein Clinics of New Jersey LLC CurrentSince Dec 1, 2025 Accepting new patients
Pelham Pkwy Medical of New York LLC CurrentSince Jan 1, 2026 Accepting new patients
Unmc Physicians CurrentSince Sep 25, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2017 Accepting new patients
USA Vascular Center of New Jersey LLC CurrentSince Dec 1, 2025 Accepting new patients
New York City Healthcare Medical Services LLC CurrentSince Jul 7, 2026 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Oct 4, 2025 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2017 Accepting new patients
Bushwick Medical of New York LLC CurrentSince Jan 1, 2026 Accepting new patients
Foxhurst Medical of New York LLC CurrentSince Jan 1, 2026 Accepting new patients
Mott Haven Professional Medical of New York LLC CurrentSince Jan 1, 2026 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2017 Accepting new patients
Vascular Anesthesia Associates PLLC Interventional Cardiology PastSince Jan 1, 2026 Accepting new patients
Mott Haven Medical of New York LLC PastSince Jul 7, 2026 Accepting new patients

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

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: 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.

View all 20

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.