Individual provider Active NPI

Punithadevi Sundaramoorthy

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1053253005
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P141481 Issued in NY
Practice address
989 Blossom Rd
Rochester, NY 14610-2251
Phone
(585) 482-3500
NPI assigned
Apr 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P141481 NY Primary

Addresses

Primary practice location

989 Blossom Rd
Rochester, NY 14610-2251

Mailing address

989 Blossom Rd
Rochester, NY 14610-2251
Phone (585) 482-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260624003346 NY Practitioner - Internal Medicine 3870066590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

48 Frost LN Unit a
Lawrence, NY 11559-1806

6609 W 149TH St
Overland Park, KS 66223-2586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P141481NYMDInternal Medicine Physician

Organizations & group practices 1

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": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1053253005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 BLOSSOM RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102251",
            "telephone_number": "585-482-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 BLOSSOM RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102251",
            "telephone_number": "585-482-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARAMOORTHY",
        "first_name": "PUNITHADEVI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P141481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.