Individual provider Active NPI

Sumanth Punukollu, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1891919395
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203358 Issued in LA
Practice address
5960 Siegen LN, Apt 9110
Baton Rouge, LA 70809
Phone
(402) 218-9919
NPI assigned
Apr 13, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203358 LA Primary

Addresses

Primary practice location

5960 Siegen LN, Apt 9110
Baton Rouge, LA 70809

Mailing address

5960 Siegen LN , Apt 9110
Baton Rouge, LA 70809
Phone (402) 218-9919

Other identifiers 1

IdentifierTypeStateIssuer
1811068MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20091114000063 LA Practitioner - Family PracticePractitioner - Emergency Medicine 4183762917 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luling Emergency Group LLCGroup PAC ID 8325352636, 21 clinicians
St. John Emergency Group LLCGroup PAC ID 4082641303, 19 clinicians
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242

1900 W Airline Hwy
La Place, LA 70068-3338
Phone (985) 652-7000

301 Memorial Dr
Donaldsonville, LA 70346-4376
Phone (225) 473-7931

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203358LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Dec 20, 2019 Accepting new patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Jan 4, 2020 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Apr 12, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 20, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
St Martin Emergency Group LLC Emergency Medicine CurrentSince Jan 19, 2020 Accepting new patients
C & M Medical Services, Inc. CurrentSince Nov 1, 2009 Accepting new patients
Ochsner Clinic LLC Emergency Medicine Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3740

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

Interoperability endpoints

  • Direct secure messaging: sumanth.punukollu.1@18294.direct.athenahealth.com

Organizations & group practices 11

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 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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1891919395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 SIEGEN LN , APT 9110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "402-218-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 SIEGEN LN, APT 9110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "402-218-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNUKOLLU",
        "first_name": "SUMANTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "203358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811068",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.