DR. RAYMUNDO P PUNZALAN M.D.
NPI 1194721373
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pleasanton, CA

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
5725 W LAS POSITAS BLVD STE 110, PLEASANTON, CA 94588(925) 463-1400 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2021, Dec 27, 2016 (2 updates tracked since 2016).

About Dr. Raymundo P Punzalan M.d. NPPES

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

DR. RAYMUNDO P PUNZALAN M.D. (NPI 1194721373) is an individual endocrinology, diabetes & metabolism provider in Pleasanton, California, licensed in California (A50049) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1194721373
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. RAYMUNDO P PUNZALANCredential: M.D.
Location Address5725 W LAS POSITAS BLVD STE 110Pleasanton, CA 94588-4016
Mailing Address5725 W Las Positas Blvd Ste 110Pleasanton, CA 94588-4016
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 30, 20222 updates tracked since enumeration
NPPES CertifiedMarch 30, 2022
✔ NPI 1194721373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A50049
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
5725 W LAS POSITAS BLVD STE 110, Pleasanton, CA 94588

Secondary Practice Locations 2

Location 1250 N Robertson Blvd Ste 600Beverly Hills, CA 90211-1771 · Phone (310) 385-3330
Location 27085 N Chestnut Ave, Sutie 101Fresno, CA 93720-0353 · Phone (559) 323-9236 · Fax (559) 323-0294

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raymundo P 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 ID8022117050
PECOS Enrollment IDI20070615000407, I20211227000626
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Raymundo Punzalan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Critical Access
500 1ST AVE
Portola, CA 96122
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1245236850 (California)
  • 30 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
3305 PLACER STREET SUITE B
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 54 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers21 claims99 services$6.89 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers38 claims38 services$190.48 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 3

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
5725 W LAS POSITAS BLVD STE 110
PLEASANTON, CA 94588
Internal Medicine
5725 W LAS POSITAS BLVD STE 110
PLEASANTON, CA 94588
Internal Medicine
5725 W LAS POSITAS BLVD STE 110
PLEASANTON, CA 94588

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 Raymundo Punzalan's NPI number?

The NPI number for Raymundo Punzalan is 1194721373. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Raymundo Punzalan located?

Raymundo Punzalan practices at 5725 W Las Positas Blvd Ste 110, Pleasanton, CA 94588. The listed phone number is (925) 463-1400.

What is Raymundo Punzalan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Raymundo Punzalan enrolled in Medicare?

Yes. Raymundo 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.

Which organizations bill Medicare for Raymundo Punzalan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymundo Punzalan reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Redwood City, CA), Eastern Plumas Health Care District (Portola, CA) and Redding Rancheria (Redding, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raymundo Punzalan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Raymundo Punzalan was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.