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DR. CARMI SANTOS PUNZALAN M.D.
NPI 1053584037
Internal Medicine - Gastroenterology in Burlington, MA

Active since April 10, 2008PECOS EnrolledAccepts Medicare Assignment
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON, MA 01805(781) 744-8000(781) 744-5743 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2018, Apr 20, 2018, Mar 9, 2018 and 1 more (4 updates tracked since 2015).

About Dr. Carmi Santos Punzalan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARMI SANTOS PUNZALAN M.D. (NPI 1053584037) is an individual gastroenterology provider in Burlington, Massachusetts, licensed in Massachusetts (262302) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Boston University School Of Medicine (2008).

NPPES Registry Identity

NPI1053584037
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. CARMI SANTOS PUNZALANCredential: M.D.
Location Address41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTERBurlington, MA 01805
Mailing Address41 Mall Road, Lahey Hospital & Medical CenterBurlington, MA 01805-0001 · (781) 744-8000 · Fax (781) 744-5743
Phone(781) 744-8000
Fax(781) 744-5743
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2008
Enumeration DateApril 10, 2008
Last NPPES UpdateJune 15, 20184 updates tracked since enumeration
✔ NPI 1053584037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MA · 262302✔ Licensed in CA · A140736
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License 262302 (MA)
41 MALL ROAD, Burlington, MA 01805
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Other Names 1

Former Name (1)Dr. Carmi Martha Santos

Other Identifiers 2

Medicaid0265551NJ
Medicaid102614243PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carmi Santos Punzalan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204005036
PECOS Enrollment IDI20180223001571
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
171 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
149 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
34 suppliers213 claims20,010 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers20 claims2,700 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers34 claims3,510 services$0.59 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers63 claims7,500 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers22 claims1,550 services$1.02 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims660 services$2.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEMITOPE PATRICIA AWOSOGBA M.D.
Obstetrics & Gynecology
41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8560
ERIC SCOTT KERNS MD
Internal Medicine (Nephrology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8430
DR. JONATHAN RASSI M.D.
Radiology (Diagnostic Radiology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8170
MS. ANNE MARCIA WOODBURY MSN, CRNA
Nurse Anesthetist, Certified Registered
41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (817) 744-8132
RUTH ELIZABETH MEDINA GUTIERREZ MD
Hospitalist
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-3839
BRITTNEY CHRISTINA LOCKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8610
LINDA ROSE CARUSO
Nurse Practitioner (Family)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8570
HEATHER WOJCIK FNP
Nurse Practitioner (Family)
41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-3839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmi Punzalan's NPI number?

The NPI number for Carmi Punzalan is 1053584037. It was assigned to this individual provider in the NPPES registry on April 10, 2008. The provider is also known as Dr. Carmi Martha Santos.

Where is Carmi Punzalan located?

Carmi Punzalan practices at 41 Mall Road Lahey Hospital & Medical Center, Burlington, MA 01805. The listed phone number is (781) 744-8000.

What is Carmi Punzalan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Carmi Punzalan enrolled in Medicare?

Yes. Carmi Punzalan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carmi Punzalan accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Carmi Punzalan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carmi Punzalan affiliated with any hospitals?

According to CMS data, Carmi Punzalan is affiliated with Northeast Hospital Corporation, Winchester Hospital, Lahey Hospital & Medical Center, Burlington, St Joseph Hospital and Elliot Hospital.

When was this NPI record last updated?

The NPPES record for Carmi Punzalan was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.