Individual provider Active NPI

Sheena Punnapuzha, MD

  • Emergency Medicine Physician
  • Manchester, NH
National Provider Identifier
1750626768
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
270498 Issued in NY
Practice address
1 Elliot Way
Manchester, NH 03103-3502
Phone
(603) 663-2533
NPI assigned
Dec 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 270498 NY Primary

Addresses

Primary practice location

1 Elliot Way
Manchester, NH 03103-3502

Mailing address

143 Hidden Oak Way
Manchester, NH 03102-8465
Phone (176) 641-3259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131219001083 NY Practitioner - Emergency Medicine 5092942094 Reassigns benefits to 2 organizations
I20220720000912 NH Practitioner - Emergency Medicine 5092942094 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians
Emergency Medicine Services of NH, LLCGroup PAC ID 3173988474, 66 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 688-3545

185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 314-6900

25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 663-3740

40 Butrrick Rd
Londonderry, NH 03053-3381

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270498NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia Emergency Medicine CurrentSince Jun 21, 2022 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Emergency Medicine Physicians of Rockingham County, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Elliot Professional Services Emergency Medicine CurrentSince Oct 10, 2022 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Emergency Medicine Services of NH, LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

80 Highland St
#L
Laconia, NH 03246

185 Queen City Ave
Manchester, NH 03101
Phone (603) 314-6900

1 Elliot Way
Unit 1
Manchester, NH 03103

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

Organizations & group practices 7

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 4

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": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1750626768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 HIDDEN OAK WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031028465",
            "telephone_number": "176-641-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELLIOT WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033502",
            "telephone_number": "603-663-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNNAPUZHA",
        "first_name": "SHEENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-02",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "270498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.