Individual provider Active NPI

Hima Bindu Punukollu, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1104989490
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
247243 Issued in NY
Practice address
1502 Caton Ave
Brooklyn, NY 11226-1006
Phone
(646) 428-0400
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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 247243 NY Primary

Addresses

Primary practice location

1502 Caton Ave
Brooklyn, NY 11226-1006

Mailing address

100 Rugby Rd
Brooklyn, NY 11226-4304
Phone (917) 674-4967

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
I20091118000052 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6901944677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Wellness Physician PLLCGroup PAC ID 4486883477, 2 clinicians

Practice addresses (Care Compare)

3309 Church Ave
Brooklyn, NY 11203-2711
Phone (347) 350-9344

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441

Merit-based Incentive Payment System (MIPS)

Final score
99.17 of 100Reported as individual
Quality
90.45
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247243NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Wellness Physician PLLC Internal Medicine CurrentSince Aug 27, 2016 Accepting new patients

Locations

595 Flatbush Ave
Brooklyn, NY 11225
Phone (718) 675-1100

3309 Church Ave
Brooklyn, NY 11203
Phone (347) 425-1789

1471 DeKalb Ave
Brooklyn, NY 11237
Phone (516) 833-5505

1502 Caton Ave
Brooklyn, NY 11226
Phone (718) 693-3300

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

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

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1104989490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264304",
            "telephone_number": "917-674-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 CATON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261006",
            "telephone_number": "646-428-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNUKOLLU",
        "first_name": "HIMA",
        "middle_name": "BINDU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "247243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.