Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pooja Bharat Patel, MD, MBS

Individual provider Internal Medicine Physician · NPI 1104454479

Dr. Pooja Bharat Patel, MD, MBS is an Internal Medicine in Manitowoc, Wisconsin. Qualified in 2014, 12 years ago. Practices with Froedtert Manitowoc Medical Group, LLC, a 157-clinician group and accepts Medicare assignment. Licensed in Florida and Wisconsin.

Years since qualifying
12
Licensed in
FL, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2300 Western Ave
Manitowoc, WI 54220-3712
Phone: (262) 505-9131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 82845-20 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1952311243 (FL)

Record details

NPI number1104454479
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MBS
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Froedtert Manitowoc Medical Group, Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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