Jaise Thekkan Poulose, M.D. is a critical care medicine internal medicine in Fargo, ND with 23 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Jaise Thekkan Poulose, M.D. NPI is 1497872675. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3000 32ND AVE S
FARGO, ND
ZIP 58103-132
Phone: (701) 364-8000
Fax: (701) 364-8078
The NPI 1497872675 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
- Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
The enumeration date for this NPI number is 3/23/2007 and was last updated on 3/24/2021.