Individual provider Active NPI

Puneet Ralhan, D.O

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1013397520
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
007854 Issued in AZ
Practice address
3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone
(602) 840-0681
NPI assigned
Jun 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125066483 IL
Physical Medicine & Rehabilitation Physician 208100000X 007854 AZ Primary

Addresses

Primary practice location

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536

Mailing address

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002000071 AZ Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 9638409816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan S Hott MD PLCGroup PAC ID 0244233542, 28 clinicians
Desert Spine and Sports Physicians PLLCGroup PAC ID 6608927504, 8 clinicians

Practice addresses (Care Compare)

3700 N 24TH St
Suite 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
125066483ILMDInternal Medicine Physician
007854AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan S. Hott, M.D., P.L.C. CurrentSince Dec 5, 2024 Accepting new patients
Desert Spine and Sports Physicians PLLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2020 Accepting new patients

Locations

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

3487 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 222-5601

6634 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (602) 840-0681

13128 N 94th Dr
Ste 200
Peoria, AZ 85381
Phone (602) 840-0681

3700 N 24th St
Ste 210
Phoenix, AZ 85016
Phone (602) 840-0681

8670 E Shea Blvd
Ste 102
Scottsdale, AZ 85260
Phone (480) 585-5440

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBHGAA/Endpoint/JBHGAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1013397520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681",
            "fax_number": "602-957-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALHAN",
        "first_name": "PUNEET",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125066483",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "007854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.