DR. ANSU MATHEW PUNNOOSE D.O.
NPI 1235496233
Family Medicine in Fulton, MD
About Dr. Ansu Mathew Punnoose D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANSU MATHEW PUNNOOSE D.O. (NPI 1235496233) is an individual family medicine provider in Fulton, Maryland, licensed in Maryland (H0079559) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2012).
NPPES Registry Identity
Specialties & Licenses
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. Ansu Mathew Punnoose D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ansu Punnoose reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Laurel, MD 20707
- Reassigned Medicare billing, District of Columbia enrollment
- 12 clinicians in this Medicare group
Rockville, MD 20850
- Reassigned Medicare billing, Maryland enrollment
- 34 clinicians in this Medicare group
Alexandria, VA 22303
- Reassigned Medicare billing, Maryland enrollment
- 61 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FULTON, MD 20759
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 Ansu Punnoose's NPI number?
The NPI number for Ansu Punnoose is 1235496233. It was assigned to this individual provider in the NPPES registry on April 13, 2012.
Where is Ansu Punnoose located?
Ansu Punnoose practices at 8175 Westside Blvd Ste D, Fulton, MD 20759. The listed phone number is (240) 580-2650.
What is Ansu Punnoose's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ansu Punnoose enrolled in Medicare?
Yes. Ansu Punnoose 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 Ansu Punnoose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ansu Punnoose reassigns Medicare benefits to 3 organizations: Medpeds, LLC (Laurel, MD), Comprehensive Primary Care And Associates LLC (Rockville, MD) and Capital Healthcare PC (Alexandria, VA). 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 Ansu Punnoose'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 Ansu Punnoose was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Ansu Mathew Punnoose, D.O. · NPI 1235496233
Family Medicine physician in Fulton, Maryland. Individual provider, active in the CMS NPPES registry since April 13, 2012.
## Identity
- **NPI:** 1235496233 (Entity type: Individual)
- **Enumerated:** April 13, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** H0079559 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8175 WESTSIDE BLVD STE D, Fulton, MD 20759-2708
- **Phone:** (240) 580-2650 · **Fax:** (240) 580-2651
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Medpeds, LLC (NPI 1093838609, Laurel, MD); Comprehensive Primary Care And Associates LLC (NPI 1831492586, Rockville, MD); Capital Healthcare PC (NPI 1811239627, Alexandria, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, New York, class of 2012
## Record status
- **NPPES last updated:** October 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1235496233) · Data from the CMS NPPES public registry.