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

Poonam Mahesh Patel, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1457032187

Poonam Mahesh Patel, DPM is a Podiatry in Philadelphia, Pennsylvania. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania and Virginia.

Years since qualifying
3
Licensed in
PA, VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

5800 Ridge Ave
Philadelphia, PA 19128
Phone: (757) 971-2065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109 Wimbledon Sq Ste F, Chesapeake, VA 23320-4945 — (757) 698-4177

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0103301488 (VA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence SC007376 (PA)

Record details

NPI number1457032187
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 26, 2023
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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