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DR. ISMAIL S PENUKONDA MD
NPI 1710144993
Family Medicine in Grapevine, TX

Active since May 16, 2008PECOS Enrolled
3213 BRIGHTON CV, GRAPEVINE, TX 76051(737) 786-5700(817) 818-1805 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ismail S Penukonda Md NPPES

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

DR. ISMAIL S PENUKONDA MD (NPI 1710144993) is an individual family medicine provider in Grapevine, Texas, licensed in Louisiana (MD.204783) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710144993
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ISMAIL S PENUKONDACredential: MD
Location Address3213 BRIGHTON CVGrapevine, TX 76051-1101
Mailing Address3213 Brighton CvGrapevine, TX 76051-1101 · (737) 786-5700 · Fax (817) 818-1805
Phone(737) 786-5700
Fax(817) 818-1805
Sole ProprietorNo
Enumeration DateMay 16, 2008
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1710144993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD.204783
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3213 BRIGHTON CV, Grapevine, TX 76051
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Other Identifiers 1

Medicaid06298LA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ismail S Penukonda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76051 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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 Ismail Penukonda's NPI number?

The NPI number for Ismail Penukonda is 1710144993. It was assigned to this individual provider in the NPPES registry on May 16, 2008.

Where is Ismail Penukonda located?

Ismail Penukonda practices at 3213 Brighton Cv, Grapevine, TX 76051. The listed phone number is (737) 786-5700.

What is Ismail Penukonda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ismail Penukonda enrolled in Medicare?

Yes. Ismail Penukonda is registered in the Medicare PECOS enrollment system.

What insurance does Ismail Penukonda accept?

Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list Ismail Penukonda 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.

When was this NPI record last updated?

The NPPES record for Ismail Penukonda was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.