Provider Profile
Sanjay Poudel, MBBS
Unclaimed ProfileAbout Dr. Poudel
Based in Providence, RI, Sanjay Poudel, MBBS is listed in the NPI registry under internal medicine. Sanjay is also listed as specializing in student in an organized health care education program. Medicare claims data shows Sanjay provided 328 services to 234 patients. The services billed most often include subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes, and initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (401) 793-4489
- Email not available
Practice Locations
164 SUMMIT AVE
Providence, RI 02906
2401 W Belvedere Ave
Baltimore, MD 21215
Conditions Commonly Evaluated or Treated
Within Internal Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
Cardiometabolic
Digestive and liver
Endocrine, blood, and bone
Infectious disease
Kidney and urinary
Respiratory
Blood & Circulation
Blood disorders
Brain & Nerves
Brain and nerves
Cardiac and vascular
Digestive
Heart & Circulation
Infections
Kidney & Bladder
Lungs & Breathing
Mental Health
Neurologic and behavioral
Pain
Rheumatologic and pain
- Osteoarthritis
Procedures & services
Most searched procedures
Preventive and evaluation
Screening and diagnostic testing
Bones & Joints
Brain and nerves
Cancer screening
Digestive
Exams & Consultations
Heart & Circulation
Heart health
Imaging referral
Immunizations
Lab tests
Lungs & Breathing
Metabolic & Weight
Minor procedures
Office procedures
Office Procedures
Pain management
Preventive & Routine Care
Screenings & Diagnostics
Sexual health
Procedures Most Often Billed to Medicare
328 services · 234 patients · 6 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
117 | As often as other peers in Internal Medicine |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
100 | As often as other peers in Internal Medicine |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
43 | As often as other peers in Internal Medicine |
| Hospital discharge day management, 30 minutes or less | Office visit | 99238 |
28 | As often as other peers in Internal Medicine |
| Hospital discharge day management, more than 30 minutes | Office visit | 99239 |
25 | |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
15 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other internists at this location 8
Same specialty, same street address — most likely the same department or group.
Related specialists at this location 8
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
More connections — 22 related providers in 3 groups
Other internists in Providence 6
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 2016 at Other 8
Providers who graduated from the same medical school in the same year.
Common questions
What does Sanjay Poudel specialize in?
Sanjay Poudel is an internist in Providence, RI. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.
NPI registry
Where is Sanjay Poudel located?
Sanjay Poudel is listed at 164 Summit Ave, Providence, RI 02906. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Sanjay Poudel's phone number?
The number on file is (401) 793-4489. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is the NPI for Sanjay Poudel?
Sanjay Poudel's National Provider Identifier is 1972164853. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Sanjay Poudel train?
Sanjay Poudel attended Other, graduating in 2016. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Sanjay Poudel have?
Sanjay Poudel has 10 years experience. Calculated from a graduation year of 2016, reported in the CMS National Downloadable File.
CMS public data
What does Sanjay Poudel do most often?
According to Medicare billing data, Sanjay Poudel the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Sanjay Poudel's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Sanjay Poudel. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.