United Pulmonary & Sleep Medicine, Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

31787 Issued in AZ

Legal business name

UNITED PULMONARY & SLEEP MEDICINE, INC

Practice address

1828 E Florence Blvd
Suite 112
Casa Grande, AZ 85222-4783

Phone

(520) 374-8915

NPI assigned

Feb 18, 2008

Organization subpart

No

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

Authorized official

Name

Rajeesh Punnakkattu, MDNPI 1982605887

Title

Director

Phone

(520) 836-1161

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajeesh S Punnakkattu, MD

  • Pulmonary Disease Physician
  • Casa Grande, AZ
  • NPI 1982605887
  Medicare reassignment Authorized official
• Zachary Kopecky, PA-C

  • Medical Physician Assistant
  • Casa Grande, AZ
  • NPI 1730859992
  Medicare reassignment

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1710155296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 E DIEGO DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852226340",
            "telephone_number": "520-836-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD",
            "address_2": "SUITE 112",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224783",
            "telephone_number": "520-374-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PULMONARY & SLEEP MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "PUNNAKKATTU",
        "authorized_official_first_name": "RAJEESH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-836-1161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "31787",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "31787",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "31787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tusa Saddle Behavioral Health Services LLC
• James Tyree Jr.
• Shilpa Mohan Ullikashi, MD
• Jacob Umscheid
• Terricita Underwood
• United Respiratory Services LLC
• Juliette Urbano, SLPA
• Leticia Marie Valdez
• Tiffany Nicole Valdez, FNP-C
• Kaylene Valenzuela

• Pulmonary Disease Physician in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Pulmonary Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.