Provider profile

Poorva ApteMD

Internal Medicine

NPI 1104354356
169 Ashley Ave Rm 202, Charleston, SC 29425843-792-4074

Check your plan

Medicare Advantage plans for Charleston County, SC.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 65 Medicare Advantage plans we show for Charleston County, SC in 2027

  • 29 list Poorva
  • 36 not listed

Humana

20 plans list Poorva; not listed on 1 other plan.

20plans
  • Humana Gold Plus Giveback H5619-169 (HMO)

    Source: Humana provider directory.

    The source lists the clinician on this plan, but hasn't identified a covered office. Confirm your office before enrolling.

    HMODrug coverage4 starsH5619-169-000Medicare.gov
    $0a month
  • Humana Gold Plus H5619-152 (HMO)

    Source: Humana provider directory.

    The source lists the clinician on this plan, but hasn't identified a covered office. Confirm your office before enrolling.

    HMODrug coverage4 starsH5619-152-000Medicare.gov
    $0a month
  • Humana Gold Plus H5619-171 (HMO)

    Source: Humana provider directory.

    The source lists the clinician on this plan, but hasn't identified a covered office. Confirm your office before enrolling.

    HMODrug coverage4 starsH5619-171-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 10207 Cerny St, Ste 102, Raleigh, NC, 27617
    • 40 Duke Medicine Cir, Durham, NC, 27710
    • 234 Crooked Creek Pkwy, Ste 400, Durham, NC, 27713
    • 234 Crooked Creek Pkwy, Durham, NC, 27713

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-217-000Medicare.gov
    $0a month

Aetna Medicare

5 plans list Poorva.

5plans
  • Aetna Medicare Eagle (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 234 Crooked Creek Pkwy, Durham, NC, 27713
    • 10207 Cerny St, Ste 102, Raleigh, NC, 27617

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-279-000Medicare.gov
    $0a month
  • Aetna Medicare Value Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 234 Crooked Creek Pkwy, Durham, NC, 27713
    • 10207 Cerny St, Ste 102, Raleigh, NC, 27617

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH3146-011-000Medicare.gov
    $7a month
  • Aetna Medicare Enhanced (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 234 Crooked Creek Pkwy, Durham, NC, 27713
    • 10207 Cerny St, Ste 102, Raleigh, NC, 27617

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH3146-047-000Medicare.gov
    $39a month
  • Aetna Medicare Full Dual (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 234 Crooked Creek Pkwy, Durham, NC, 27713
    • 10207 Cerny St, Ste 102, Raleigh, NC, 27617

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH3146-016-000Medicare.gov
    $0a month

HealthSpring

4 plans list Poorva.

4plans
  • HealthSpring Courage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Duke Health Cary Pl, Ste 410, Cary, NC, 27519
    • 234 Crooked Creek Pkwy, Durham, NC, 27713
    • 234 Crooked Creek Pkwy, Ste 400, Durham, NC, 27713
    • 10207 Cerny St, Ste 102, Raleigh, NC, 27617
    • 40 Duke Medicine Cir, Durham, NC, 27710

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage3 starsH7020-005-000Medicare.gov
    $0a month
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Duke Health Cary Pl, Ste 410, Cary, NC, 27519
    • 234 Crooked Creek Pkwy, Durham, NC, 27713
    • 234 Crooked Creek Pkwy, Ste 400, Durham, NC, 27713
    • 10207 Cerny St, Ste 102, Raleigh, NC, 27617
    • 40 Duke Medicine Cir, Durham, NC, 27710

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH7020-011-003Medicare.gov
    $0a month
  • HealthSpring Preferred Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Duke Health Cary Pl, Ste 410, Cary, NC, 27519
    • 234 Crooked Creek Pkwy, Durham, NC, 27713
    • 234 Crooked Creek Pkwy, Ste 400, Durham, NC, 27713
    • 10207 Cerny St, Ste 102, Raleigh, NC, 27617
    • 40 Duke Medicine Cir, Durham, NC, 27710

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH7020-010-003Medicare.gov
    $0a month
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 Duke Health Cary Pl, Ste 410, Cary, NC, 27519
    • 234 Crooked Creek Pkwy, Durham, NC, 27713
    • 234 Crooked Creek Pkwy, Ste 400, Durham, NC, 27713
    • 10207 Cerny St, Ste 102, Raleigh, NC, 27617
    • 40 Duke Medicine Cir, Durham, NC, 27710

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-136-003Medicare.gov
    $15a month

Blue Cross Blue Shield of South Carolina

Not listed on its 2 plans here. That isn't proof they're out of network.

Clover Health

Not listed on its 3 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 9 plans here. That isn't proof they're out of network.

First Choice VIP Care (HMO D-SNP)

Not listed on its 1 plan here. That isn't proof they're out of network.

Molina Healthcare of South Carolina

Not listed on its 1 plan here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 12 plans here. That isn't proof they're out of network.

Wellcare

Not listed on its 7 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Poorva takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Practice location

169 Ashley Ave Rm 202
Charleston, SC 29425

NPI Registry
NPI issued
2017
Registry record updated
Jul 21, 2022

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Poorva Apte?

In Charleston County, SC, 29 Medicare Advantage plans for 2027 list Poorva in provider data from Medicare.gov or the carrier, including Humana Gold Plus Giveback H5619-169 (HMO), Humana Gold Plus H5619-152 (HMO) and Humana Gold Plus H5619-171 (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Poorva Apte take Humana Medicare Advantage plans?

Humana's own provider directory lists Poorva on 20 Medicare Advantage plans for 2027 in Charleston County, SC, including Humana Gold Plus Giveback H5619-169 (HMO) and Humana Gold Plus H5619-152 (HMO). 1 other plan did not return a listing in the search area. Confirm with the office or Humana before you enroll.

Does Poorva Apte take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Poorva on 5 Medicare Advantage plans for 2027 in Charleston County, SC, including Aetna Medicare Eagle (PPO) and Aetna Medicare Value Plus (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does Poorva Apte take HealthSpring Medicare Advantage plans?

Medicare.gov provider data lists Poorva on 4 Medicare Advantage plans for 2027 in Charleston County, SC, including HealthSpring Courage (HMO) and HealthSpring Preferred (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or HealthSpring before you enroll.

Where does Poorva Apte practice?

169 Ashley Ave Rm 202, Charleston, SC 29425.

How do I confirm Poorva is in my plan's network?

Call the member services number on your plan card and give them the NPI 1104354356, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Poorva's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Poorva Apte on 35 plans from Blue Cross Blue Shield of South Carolina, Clover Health, Devoted, First Choice VIP Care (HMO D-SNP), Molina Healthcare of South Carolina, UnitedHealthcare and Wellcare in Charleston County, SC. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2022-07-21). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Poorva Apte or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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