Individual provider Active NPI

Imran Rafi Ahmed Punekar, MD, PHD

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1104354935
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
311090 Issued in NY
Practice address
45 Park Ave
New York, NY 10016-3487
Phone
(423) 374-6726
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 311090 NY
Interventional Pain Medicine Physician 208VP0014X 311090 NY Primary

Addresses

Primary practice location

45 Park Ave
New York, NY 10016-3487

Mailing address

45 Park Ave
New York, NY 10016-3487
Phone (423) 374-6726

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
I20221005003413 NY Practitioner - AnesthesiologyPractitioner - Pain Management 0547507618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sedation Vacation Perioperative Medicine PLLCGroup PAC ID 1759658594, 86 clinicians
Centurion Midtown Anesthesia PLLCGroup PAC ID 2567804669, 15 clinicians

Practice addresses (Care Compare)

1396 Myrtle Ave
Brooklyn, NY 11237-4513
Phone (718) 222-5999

305 E 47TH St
New York, NY 10017-2303
Phone (718) 550-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
311090NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goldstep Ambulatory Surgery Center, LLC Anesthesiology CurrentSince Aug 12, 2022 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Oct 4, 2022 Accepting new patients
Imran Punekar MD PHD PC CurrentSince May 25, 2025 Accepting new patients
Centurion Midtown Anesthesia PLLC Anesthesiology CurrentSince Feb 15, 2025 Accepting new patients
Strong Palliative Care Group Past Accepting new patients

Locations

200 Broadway
Ste 3149
Brooklyn, NY 11211

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

305 E 47th St
New York, NY 10017
Phone (212) 203-8744

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

Organizations & group practices 5

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1104354935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163487",
            "telephone_number": "423-374-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163487",
            "telephone_number": "423-374-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNEKAR",
        "first_name": "IMRAN",
        "middle_name": "RAFI AHMED",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "311090",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "311090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.