Individual provider Active NPI

Rajeesh S Punnakkattu, MD

  • Pulmonary Disease Physician
  • Casa Grande, AZ
National Provider Identifier
1982605887
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
31787 Issued in AZ
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

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
875312MedicaidAZ
WCSKQOtherAZSUN HEALTH GROUP #
120730OtherAZMEDICARE PTAN
P00174006OtherAZRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000227 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3577531623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

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 Hospital, Casa Grande, AZ, CCN 030016
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as individual
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.

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": "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

Verify at the official NPI Registry.