Sudeep Singh Punia, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

AZ20224 Issued in AZ

Practice address

7330 N 99TH Ave Ste 205
Glendale, AZ 85307-3018

Phone

(623) 691-8319

Fax

(623) 398-7678

NPI assigned

Oct 24, 2006

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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

• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment NPD
• Mehareen LLP

  dba 21st Century Family Medicine

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1134118656
  NPD (past)
• Tbird Hospitalist Group, LLC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1134155724
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1073696746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E SHEENA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224599",
            "telephone_number": "623-691-8319",
            "fax_number": "623-398-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 N 99TH AVE STE 205",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073018",
            "telephone_number": "623-691-8319",
            "fax_number": "623-398-7678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 E Sheena Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850224599",
            "country_code": "US",
            "telephone_number": "623-691-8319",
            "fax_number": "623-398-7678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNIA",
        "first_name": "SUDEEP",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "20224",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "AZ20224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114158001",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wvimaz.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "abloommedicalspa.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "17218 N 72nd Dr Ste 110",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Psychiatric Consultation Services PC
• Robin Lynn Puckett, MAPC LAC
• Ruben D Puha
• Adrian E Pulkrabek, DDS
• Rampung Pulver, RPH
• Pure Choices LLC
• Pure Empathy Counseling
• Jatinder Singh Purewal, M.D.
• Karen Kaur Purewal
• Satinder Singh Purewal, MD

• Internal Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.