Michael E Pannunzio, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

01061807A Issued in IN

Practice address

13431 Old Meridian St
Suite 225
Carmel, IN 46032-7101

Phone

(317) 249-2616

Fax

(317) 249-2618

NPI assigned

Jun 19, 2006

Last updated

Sep 4, 2014By the provider in NPPES

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

Enrolled in IN

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

Specialty

Hand Surgery

Education

University of Virginia School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reconstructive Hand to Shoulder of Indiana LLCGroup PAC ID 7719088806, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Witham Health Services Hospital, Lebanon, IN, CCN 150104
• Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reconstructive Hand to Shoulder of Indiana LLC

  • Orthopaedic Hand Surgery Physician
  • Carmel, IN
  • NPI 1003000399
  Medicare reassignment Care Compare group NPD Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

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

• Indiana University Health Bloomington Inc

  dba Iu Health Bloomington

  • General Acute Care Hospital
  • Bloomington, IN
  • NPI 1205860335
  Care Compare affiliation
• Witham Memorial Hospital

  dba Witham Health Services

  • General Acute Care Hospital
  • Lebanon, IN
  • NPI 1699757401
  Care Compare affiliation

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1598700783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 OLD MERIDIAN ST",
            "address_2": "SUITE 225",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327101",
            "telephone_number": "317-249-2616",
            "fax_number": "317-249-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13431 OLD MERIDIAN ST",
            "address_2": "SUITE 225",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327101",
            "telephone_number": "317-249-2616",
            "fax_number": "317-249-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNUNZIO",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IN",
            "license": "01061807A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200814830",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Palmer
• Russell B Palmer, MD
• Sarah B Palmer, MD
• Dilnaz Panjwani, MD
• Alisha Nicolle Pankiw, NP-C
• Kimberly M Papanikandros, LCSW
• Vanessa Paredes Rodriguez
• Brianna Parish, RBT
• Patrick Young Park, M.D.
• Young Ki Park, D.O.

• Orthopaedic Hand Surgery Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Orthopaedic Hand Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.