Jaise Thekkan Poulose, MD
Jaise Thekkan Poulose, MD is a Critical Care (Intensivists) in Edgewood, Kentucky. Qualified in 2001, 25 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky, Louisiana, Minnesota and North Dakota.
- Years since qualifying
- 25
- Licensed in
- KY, LA, MN, ND
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1 Medical Village DrEdgewood, KY 41017-3403
Phone: (859) 757-2927
Fax: (859) 341-0203
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 320 W 18th St, Hopkinsville, KY 42240-1965 — (270) 887-0100
Specialties & licences
| Critical Care Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RC0200X · Licence 53941 (KY) |
|---|---|
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence 11150 (ND) |
| Critical Care Medicine (Internal Medicine) Physician | Taxonomy 207RC0200X · Licence 50104 (MN) |
| Pulmonary Disease Physician | Taxonomy 207RP1001X · Licence MD.207663 (LA) |
Record details
| NPI number | 1497872675 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 23, 2007 |
| Last updated in NPPES | August 6, 2025 |
| Certification date | August 6, 2025 |
Medicare enrollment
| Medicare specialty | CRITICAL CARE (INTENSIVISTS) |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Summit Medical Group Inc — 799 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Edgewood
-
Dr. Mark K Jordan, MD
711 Medical Village Dr, Edgewood, KY 41017 · (859) 287-3045
-
Kevin J Miller, MD
711 Medical Village Dr, Edgewood, KY 41017 · (859) 287-3045
-
Patient Choice Cardiology, PSC
20 Medical Village Dr Ste 177, Edgewood, KY 41017-5401 · (859) 331-3353
-
Erica R. Pivato, DO
711 Medical Village Dr, Edgewood, KY 41017-3439 · (859) 287-3045
-
Dr. Jerome B Schutzman, MD
711 Medical Village Dr, Edgewood, KY 41017 · (859) 287-3045
-
Anusha Gopalkrishna Shanbhag
711 Medical Village Dr, Edgewood, KY 41017-3439 · (859) 287-3045
-
Hareeprasad Reddy Vongooru, MD
711 Medical Village Dr, Edgewood, KY 41017-3439 · (859) 301-0124