Venkata Puttagunta, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4301041328 Issued in MI

Practice address

1100 E Michigan Ave
Grayling, MI 49738-1312

Phone

(989) 348-5461

NPI assigned

Sep 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Ambulatory Anesthesia Care, PLLC

  • Specialist
  • Flint, MI
  • NPI 1538114228
  NPD (past)
• Mercy Anesthesia

  • Anesthesiology Physician
  • Grayling, MI
  • NPI 1245283175

  Anesthesiology

  NPD (past)
• Morgan Medical Management, PC

  • Certified Registered Nurse Anesthetist
  • Jackson, MI
  • NPI 1386740025

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154423630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497380545",
            "telephone_number": "989-348-1040",
            "fax_number": "989-348-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MICHIGAN AVE",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497381312",
            "telephone_number": "989-348-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTTAGUNTA",
        "first_name": "VENKATA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301041328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4526755",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Daniel Petersen, R.PH.
• Ruth Elaine Pilon, RN
• Rebecca L Porta, LCSW
• Laura Ann Pratt
• Pure North Dentistry PLLC
• Dave Quilliam, LMSW
• James Quin, RPH
• Ra2 PC
• Mistey Rayl, AGNP
• Kaitlyn J Reinink, RN

• All providers in Grayling, MI
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.