Individual provider Active NPI

Puneet Bhalla, M.D.

  • Medical Oncology Physician
  • Chandler, AZ
National Provider Identifier
1336115542
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
30244 Issued in AZ
Practice address
695 S Dobson Rd
Chandler, AZ 85224-5665
Phone
(480) 821-2838
Fax
(480) 821-9444
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 30244 AZ Primary

Addresses

Primary practice location

695 S Dobson Rd
Chandler, AZ 85224-5665

Mailing address

PO Box 6423
Chandler, AZ 85246-6423

Other identifiers 1

IdentifierTypeStateIssuer
764614OtherAZAHCCCS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050211000908 AZ Practitioner - Medical OncologyPractitioner - Internal Medicine 1557313046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians

Practice addresses (Care Compare)

6111 E Arbor Ave
Mesa, AZ 85206-6059
Phone (480) 981-1326

685 S Dobson Rd
Chandler, AZ 85224-5665
Phone (480) 821-2838

695 S Dobson Rd
Chandler, AZ 85224-5665
Phone (480) 821-2838

8880 E Desert Cove Ave
Scottsdale, AZ 85260-6746
Phone (480) 314-6670

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Physicians, PC Hematology & Oncology CurrentSince Sep 1, 2006 Accepting new patients
Ironwood Physicians, PC Hematology & Oncology CurrentSince Sep 1, 2006 Accepting new patients
Hematology-Oncology Consultants, P.C. Past Accepting new patients

Locations

695 S Dobson Rd
Chandler, AZ 85224
Phone (480) 821-2823

685 S Dobson Rd
Chandler, AZ 85224
Phone (480) 324-5220

3855 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 245-6288

3686 S Rome St
Gilbert, AZ 85297
Phone (480) 792-6006

3645 S Rome St
Ste 209
Gilbert, AZ 85297
Phone (480) 890-7705

3503 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 895-5870

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

Organizations & group practices 3

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 3

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1336115542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245665",
            "telephone_number": "480-821-2838",
            "fax_number": "480-821-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "PUNEET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AZ",
            "license": "30244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "764614",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.