NPIMap

Individual provider Active NPI

Chandrasekhara. Rao Punukollu, MD

  • Gastroenterology Physician
  • Mt Pleasant, PA
National Provider Identifier
1912014549
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD041732L Issued in PA
Practice address
508 S Church St Ste 100
Mount Pleasant, PA 15666-1702
Phone
(724) 547-7212
Fax
(724) 547-7278
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD041732L PA Primary

Addresses

Primary practice location

508 S Church St Ste 100
Mount Pleasant, PA 15666-1702

Mailing address

508 S Church St Ste 100
Mt Pleasant, PA 15666-1702
Phone (724) 547-7212

Other identifiers 2

IdentifierTypeStateIssuer
0012140750004MedicaidPA
0012140750009MedicaidPA

Other names 1

  • Dr. C. Rao Punukollu Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address craopunukollu@emg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301001002 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 8022905405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

508 S Church St
Suite 100
Mt Pleasant, PA 15666-1702
Phone (724) 547-7212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041732LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc CurrentSince Jul 1, 2012 Accepting new patients
Upmc Community Medicine Inc Gastroenterology Past Accepting new patients
Upmc Community Medcine Inc Past Accepting new patients
Punukollu MD and Associates, P.C. Gastroenterology PastSince May 10, 2007 Accepting new patients
Radiologic Consultants, LTD Past Accepting new patients

Locations

545 Rugh St
Greensburg, PA 15601
Phone (724) 836-5500

443 Frye Farm Rd
Ste 100
Greensburg, PA 15601
Phone (724) 532-0866

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

520 Jefferson Ave
Ste 400
Jeannette, PA 15644

100 Excela Health Dr
Ste 202
Latrobe, PA 15650
Phone (724) 537-7100

555 State Route 217
Ste 1
Latrobe, PA 15650
Phone (724) 694-2723

480 Eagle St
Mt Pleasant, PA 15666
Phone (724) 261-5610

508 S Church St
Ste 100
Mt Pleasant, PA 15666
Phone (724) 547-4536

905 Spruce St
Ste 201
North Huntingdon, PA 15642
Phone (724) 864-1115

Interoperability endpoints

  • Direct secure messaging: craopunukollu@emg.allscriptsdirect.net

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

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1912014549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S CHURCH ST STE 100",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661702",
            "telephone_number": "724-547-7212",
            "fax_number": "724-547-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S CHURCH ST STE 100",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661702",
            "telephone_number": "724-547-7212",
            "fax_number": "724-547-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNUKOLLU",
        "first_name": "CHANDRASEKHARA.",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD041732L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012140750004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012140750009",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craopunukollu@emg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "EH Gastroenterology Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "508 S Church St Ste 100",
            "city": "Mount Pleasant",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156661702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "PUNUKOLLU",
            "middle_name": "RAO",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.