Individual provider Active NPI

Angela Suhale Puthenveetil, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1649652280
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
56136 Issued in AZ
Practice address
2945 W Ina Rd Ste 215&221
Tucson, AZ 85741-2350
Phone
(520) 616-1531
Fax
(520) 616-1536
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11018086A IN
Family Medicine Physician 207Q00000X 56136 AZ Primary

Addresses

Primary practice location

2945 W Ina Rd Ste 215&221
Tucson, AZ 85741-2350

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

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
I20180921002712 AZ Practitioner - Family Practice 9638482912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

2945 W Ina Rd
Suite 215And221
Tucson, AZ 85741-2350
Phone (520) 616-1531

3690 S Park Ave
Suite 805
Tucson, AZ 85713-5042
Phone (520) 616-6760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56136AZMDFamily Medicine Physician
11018086AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center, Inc Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Marana Health Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

2945 W Ina Rd
Ste 215221
Tucson, AZ 85741
Phone (520) 616-1531

Interoperability endpoints

  • Direct secure messaging: angela.puthenveetil.1@32652.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1649652280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-616-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 W INA RD STE 215&221",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412350",
            "telephone_number": "520-616-1531",
            "fax_number": "520-616-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHENVEETIL",
        "first_name": "ANGELA",
        "middle_name": "SUHALE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11018086A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "56136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.