Active NPI
Rajeesh S Punnakkattu, MD
- Pulmonary Disease Physician
- Casa Grande, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 31787
- Practice address
- 1780 E Florence Blvd Ste 110
Casa Grande, AZ 85122-4782 - Phone
- (520) 374-8915
- Fax
- (520) 233-7015
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 31787 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 31787 | AZ | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 31787 | AZ | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 31787 | AZ |
Addresses
Primary practice location
1780 E Florence Blvd Ste 110
Casa Grande, AZ 85122-4782
Mailing address
1780 E Florence Blvd Ste 110
Casa Grande, AZ 85122-4782
Phone (520) 374-8915
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 875312 | Medicaid | AZ | |
| WCSKQ | Other | AZ | SUN HEALTH GROUP # |
| 120730 | Other | AZ | MEDICARE PTAN |
| P00174006 | Other | AZ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BHSM Rehabilitation LLC
Practice addresses (Care Compare)
1780 E Florence Blvd
Suite 110
Casa Grande, AZ 85122-4782
Phone (520) 431-4321
1800 E Florence Blvd
Banner Casa Grande Medical Center
Casa Grande, AZ 85122-5303
Phone (520) 381-6300
1828 E Florence Blvd
Suite 112
Casa Grande, AZ 85122-4784
Phone (520) 374-8915
2225 W Southern Ave
Suite a
Mesa, AZ 85202-4716
Phone (623) 888-3502
Hospital & facility affiliations
- Banner Casa Grande Medical Center
- Banner Desert Medical Center
- Banner - University Medical Center Phoenix
- Chandler Regional Medical Center
- Banner Baywood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.95 of 100
- Quality
- 76.94
- Improvement activities
- 40
- Cost
- 73.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Casa Grande, AZ
- NPI 1710155296
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1982605887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 E FLORENCE BLVD STE 110",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224782",
"telephone_number": "520-374-8915",
"fax_number": "520-233-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 E FLORENCE BLVD STE 110",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224782",
"telephone_number": "520-374-8915",
"fax_number": "520-233-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNNAKKATTU",
"first_name": "RAJEESH",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "31787",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "31787",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "AZ",
"license": "31787",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": "31787",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "875312",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUN HEALTH GROUP #",
"identifier": "WCSKQ",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "120730",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00174006",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.