Ansu Mathew Punnoose, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0079559 Issued in MD

Practice address

8175 Westside Blvd Ste D
Fulton, MD 20759-2708

Phone

(240) 580-2650

Fax

(240) 580-2651

NPI assigned

Apr 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Family Practice

Education

Touro Un Col of Osteopathic Medicine, New York, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.13 of 100Reported as apm

Quality

90.26

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ansu.punnoose.1@15482.direct.athenahealth.com

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.

• Comprehensive Primary Care and Associates LLC

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1831492586

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627

  MD

  Medicare reassignment Care Compare group NPD
• Medpeds, LLC

  • Family Medicine Physician
  • Laurel, MD
  • NPI 1093838609

  DC

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Capital Healthcare PC Dba Allcare

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1407162076
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1235496233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 WESTSIDE BLVD STE D",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592708",
            "telephone_number": "240-580-2650",
            "fax_number": "240-580-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 WESTSIDE BLVD STE D",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592708",
            "telephone_number": "240-580-2650",
            "fax_number": "240-580-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNNOOSE",
        "first_name": "ANSU",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0079559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basya Poretsky
• Anna J Powell
• Primary Healthcare Services LLC
• Maria Rafanan Prince, MD
• Privia Medical Group, LLC
• Emani Purchas
• R and D Monitoring Services, LLC
• Jerry Lee Radas, DC
• Radlan Healthcare Services LLC
• Shoshana Rakow

• Family Medicine Physician in Fulton, MD
• Providers in Fulton, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.