Tina Puthalon Kunnath, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

36016 Issued in MS

Practice address

8274 Hacks Cross Rd Ste 102
Olive Branch, MS 38654-4009

Phone

(901) 370-7406

Fax

(833) 747-1287

NPI assigned

Jun 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tina.puthalon-kunnath.1@25830.direct.athenahealth.com
• Direct secure messaging: tputhalonkunnath34345@mlh.direct-ci.com

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.

• Midsouth Rheumatology

  • Rheumatology Physician
  • Olive Branch, MS
  • NPI 1932868908

  MS

  Medicare reassignment Authorized official

Specialty

Rheumatology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1992145304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8274 HACKS CROSS RD STE 102",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544009",
            "telephone_number": "901-370-7406",
            "fax_number": "833-747-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8274 HACKS CROSS RD STE 102",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544009",
            "telephone_number": "901-370-7406",
            "fax_number": "833-747-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHALON KUNNATH",
        "first_name": "TINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MS",
            "license": "36016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Olive Branch, MS
• Rheumatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.