Bapanaiah Penugonda, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

6646 Issued in ND

Practice address

1200 S Columbia Rd
Grand Forks, ND 58201-4036

Phone

(701) 780-5000

NPI assigned

Dec 11, 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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Anesthesia Medicine Services of FL, LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1346947496
  Medicare reassignment NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Orange City, FL
  • NPI 1457300998
  Medicare reassignment NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Altamonte Springs, FL
  • NPI 1730751108
  NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Lake Mary, FL
  • NPI 1992524706
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1629138516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6002",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582066002",
            "telephone_number": "701-780-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENUGONDA",
        "first_name": "BAPANAIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ND",
            "license": "6646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Peltier
• Katie Rothe Pence
• Valerie Jean Pendleton
• Michelle Elizabeth Penland, MA
• Penrad Imaging LLC
• Whitney F Perez, COTA
• Performance Chiropractic PLLC
• Dexter Peries, CRNA
• Casey Laine Pesch, CRNA
• Faith Petersen

• Anesthesiology Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Anesthesiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.