Dr Pooja Kumari, MD - Medicare Rheumatology in Sherman, TX

Dr Pooja Kumari, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Sherman, Texas. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Select Physical Therapy Texas Limited Partnership and her current practice location is 425 N Highland Ave Ste 200, Sherman, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 508-4230.

Dr Pooja Kumari is licensed to practice in Texas (license number T1131) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194131342.

Contact Information

Dr Pooja Kumari, MD
425 N Highland Ave Ste 200,
Sherman, TX 75092-7383
(903) 508-4230
(903) 553-4388

Map and Direction




Physician's Profile

Full NameDr Pooja Kumari
GenderFemale
SpecialityRheumatology
Experience15 Years
Location425 N Highland Ave Ste 200, Sherman, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Pooja Kumari graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1194131342
  • Provider Enumeration Date: 07/09/2014
  • Last Update Date: 10/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254641822
  • Enrollment ID: I20210810004150

Medical Identifiers

Medical identifiers for Dr Pooja Kumari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194131342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 52000 (South Carolina)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology T1131 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pooja Kumari allows following entities to bill medicare on her behalf.
Entity NameDallas Arthritis And Autoimmune Disease Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356913297
PECOS PAC ID: 3476957689
Enrollment ID: O20210810004132

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pooja Kumari is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pooja Kumari, MD
1100 Bull Creek Dr,
Mckinney, TX 75071-3399

Ph: (903) 508-4230
Dr Pooja Kumari, MD
425 N Highland Ave Ste 200,
Sherman, TX 75092-7383

Ph: (903) 508-4230

Reviews and Comments


Internal Medicine Doctors in Sherman, TX

Dr. Dale Curtis Davies, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 115 W Lamberth Rd Ste D, Sherman, TX 75092
Phone: 903-957-7200    Fax: 903-957-0009
Irfanullah Yusufzai, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 300 N Highland Ave, Suite 455, Sherman, TX 75092
Phone: 903-868-2800    Fax: 903-868-2822
Ronald Vanbuskirk, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Highland Ave, Sherman, TX 75092
Phone: 903-870-4611    
David F. Davis, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 425 N Highland Ave, Ste 120, Sherman, TX 75092
Phone: 903-361-7869    Fax: 903-598-7726
Patricia Sharkey, M.D.
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 303 Sunset Blvd, Sherman, TX 75092
Phone: 903-891-1972    Fax: 902-892-6093
Dr. Joseph K Kim, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 204 Medical Dr Ste 240, Sherman, TX 75092
Phone: 903-364-4525    
Dr. Alan J Mcbride, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Highland Ave, Ste 101, Sherman, TX 75092
Phone: 903-892-8112    Fax: 903-893-8637

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.