Individual provider Active NPI

Anirudh Venkat Penukonda, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Dallas, TX
National Provider Identifier
1710276977
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
Q2181 Issued in TX
Practice address
221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone
(214) 960-5681
Fax
(214) 960-5681
NPI assigned
Mar 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44682 TX
Pulmonary Disease Physician 207RP1001X Q2181 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Q2181 TX Primary

Addresses

Primary practice location

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312

Mailing address

5605 N Macarthur Blvd Ste 740
Irving, TX 75038-2626
Phone (214) 648-9741

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-9741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141015002128 TX Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 4183845167 Reassigns benefits to 3 organizations
I20260219003144 MA Practitioner - Internal Medicine 4183845167 Reassigns benefits to 3 organizations
I20260508002881 NH Practitioner - Internal Medicine 4183845167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Pulmonary and Critical Care PAGroup PAC ID 2163679200, 186 clinicians
Incare Tufts PLLCGroup PAC ID 3072013192, 49 clinicians

Practice addresses (Care Compare)

221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175

5605 N Macarthur Blvd
Suite 740
Irving, TX 75038-2626

565 Turnpike St
Suite 85
North Andover, MA 01845-5936
Phone (978) 687-2247

Hospital & facility affiliations

  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Texas Health Harris Methodist Hurst-Euless-Bedford Hospital, Bedford, TX, CCN 450639
  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1016264MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Tufts PLLC Internal Medicine CurrentSince Jan 10, 2026 Accepting new patients
Incare Lawrence PLLC Pulmonary Disease CurrentSince Jan 10, 2026 Accepting new patients
Incare Middleton, PLLC Critical Care Medicine CurrentSince Jan 10, 2026 Accepting new patients
Dallas Pulmonary & Critical Care PA Critical Care Medicine CurrentSince Oct 25, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Jul 14, 2014 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 14, 2014 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Baylor Medical Center at Irving Past Accepting new patients

Locations

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

3901 W 15th St
Ste 108
Plano, TX 75075
Phone (214) 217-1950

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 9

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 5

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1710276977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 N MACARTHUR BLVD STE 740",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382626",
            "telephone_number": "214-648-9741",
            "fax_number": "214-648-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082312",
            "telephone_number": "214-960-5681",
            "fax_number": "214-960-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-648-9741",
            "fax_number": "214-648-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENUKONDA",
        "first_name": "ANIRUDH",
        "middle_name": "VENKAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "44682",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "Q2181",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "Q2181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.