DR. ANSU MATHEW PUNNOOSE (D.O.) – Family Medicine Physician, NPI 1235496233

DR. ANSU MATHEW PUNNOOSE (D.O.) is a healthcare provider. based in Fulton, Maryland. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. H0079559 (MD). The NPI Number for DR. ANSU MATHEW PUNNOOSE (D.O.) is 1235496233

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANSU MATHEW PUNNOOSE (D.O.)
NPI
1235496233
Phone
(240) 580-2650
Address
8175 WESTSIDE BLVD STE D
Enumeration Date
13 April 2012
Last Update Date
9 October 2023

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Secondary Phone
4433933657
Graduation Year
2012 (14 years ago)
PAC ID
6608179676
Group Practice PAC ID
3779723309
Professional Enrollment ID
I20220706000002
Address ID
MD207592708FU8175XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,488 FAMILY PRACTICE in MD

Provider Addresses for DR. ANSU MATHEW PUNNOOSE (D.O.)

  • 8175 WESTSIDE BLVD STE D

    FULTON, MD 207592708

    Phone: (240) 580-2650

    Fax: (240) 580-2651

    Type: Location

  • 9000 FRANKLIN SQUARE DR

    DEPT OF FAMILY MEDICINE

    BALTIMORE, MD 212373901

    Phone: (443) 777-2000

    Fax: (443) 777-2034

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Lilly USA, LLC ($19).

Total Amount

$68

General + Research + Ownership

Payments

4

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160126000094IFamily PracticeDCTBD
I20220706000002IFamily PracticeMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3120$0
99213Established patient office or other outpatient visit, 20-29 minutes1816$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 20759)

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Provider's Procedures

DR. ANSU MATHEW PUNNOOSE (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMD81002Urinalysis, manual test1412

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779723309View full group profile
NameSpecialtyState
Family PracticeMD
Internal MedicineMD
Hospitalist, Internal Medicine, Internal MedicineMO
-VA
Family PracticeDC
Physician AssistantMD
Family PracticeMO
Physician AssistantMD
Physician AssistantVA
-MD

Reviews

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Frequently asked questions

What is DR. ANSU MATHEW PUNNOOSE (D.O.)'s NPI number?
DR. ANSU MATHEW PUNNOOSE (D.O.)'s NPI is 1235496233 — the number used across U.S. healthcare to identify this provider.
Would DR. ANSU MATHEW PUNNOOSE (D.O.) appear as active to a payer?
You can treat DR. ANSU MATHEW PUNNOOSE (D.O.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. ANSU MATHEW PUNNOOSE (D.O.)?
DR. ANSU MATHEW PUNNOOSE (D.O.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. ANSU MATHEW PUNNOOSE (D.O.) associated with Fulton?
Public fields place DR. ANSU MATHEW PUNNOOSE (D.O.) around Fulton, Maryland. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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