Individual provider Active NPI

Poonam Gogia, MD

  • Internal Medicine Physician
  • Harlingen, TX
National Provider Identifier
1891708913
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9056 Issued in TX
Practice address
509 S Expressway 83 Ste B
Harlingen, TX 78550-5903
Phone
(956) 406-6285
Fax
(956) 406-6300
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J9056 TX Primary

Addresses

Primary practice location

509 S Expressway 83 Ste B
Harlingen, TX 78550-5903

Mailing address

509 S Expressway 83 Ste B
Harlingen, TX 78550-5903
Phone (956) 406-6285

Other identifiers 3

IdentifierTypeStateIssuer
105525303MedicaidTX
F96694OtherTXUPIN
105525302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100723000746 TX Practitioner - Internal Medicine 7810029014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

509 S Expressway 83 B
Wellmed at Central Park
Harlingen, TX 78550-5908
Phone (956) 425-4386

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Jan 22, 2018 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jan 22, 2018 Accepting new patients

Locations

509 S Expressway 83
Ste B
Harlingen, TX 78550
Phone (956) 406-6285

802 S Loop 499
Ste 4
Harlingen, TX 78550
Phone (956) 230-1823

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: poonam.gogia@wellmed.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1891708913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S EXPRESSWAY 83 STE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785505903",
            "telephone_number": "956-406-6285",
            "fax_number": "956-406-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S EXPRESSWAY 83 STE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785505903",
            "telephone_number": "956-406-6285",
            "fax_number": "956-406-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGIA",
        "first_name": "POONAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105525303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F96694",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105525302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.