Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SUMANTH PUNUKOLLU MD
NPI 1891919395
Family Medicine in Baton Rouge, LA

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
5960 SIEGEN LN, APT 9110, BATON ROUGE, LA 70809(402) 218-9919 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sumanth Punukollu Md NPPES

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

DR. SUMANTH PUNUKOLLU MD (NPI 1891919395) is an individual family medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (203358) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with St Charles Parish Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1891919395
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUMANTH PUNUKOLLUCredential: MD
Location Address5960 SIEGEN LN, APT 9110Baton Rouge, LA 70809
Mailing Address5960 Siegen Ln , Apt 9110Baton Rouge, LA 70809 · (402) 218-9919
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateApril 13, 2007
Last NPPES UpdateSeptember 29, 2026
✔ NPI 1891919395 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 · 203358
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.
5960 SIEGEN LN, APT 9110, Baton Rouge, LA 70809

Other Identifiers 1

Medicaid1811068LA

Accepted Insurance

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. Sumanth Punukollu Md 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 ID4183762917
PECOS Enrollment IDI20091114000063
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

8

Medicare enrollment records show Sumanth Punukollu reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
10310 THE GROVE BLVD
Baton Rouge, LA 70836
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
Emergency Medicine
500 RUE DE SANTE
La Place, LA 70068
  • Reassigned Medicare billing, Louisiana enrollment
  • 120 clinicians in this Medicare group
Emergency Medicine
210 CHAMPAGNE BLVD
Breaux Bridge, LA 70517
  • Reassigned Medicare billing, Louisiana enrollment
  • 69 clinicians in this Medicare group
Emergency Medicine
1057 PAUL MAILLARD RD
Luling, LA 70070
  • Reassigned Medicare billing, Louisiana enrollment
  • 114 clinicians in this Medicare group
Emergency Medicine
180 W ESPLANADE AVE
Kenner, LA 70065
  • Reassigned Medicare billing, Louisiana enrollment
  • 181 clinicians in this Medicare group
Emergency Medicine
229 SAINT JOHN LN
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 133 clinicians in this Medicare group
Emergency Medical Services
2450 SEVERN AVE STE 205
Metairie, LA 70001
  • Reassigned Medicare billing, Louisiana enrollment
  • 176 clinicians in this Medicare group
Emergency Medicine
2700 NAPOLEON AVE
New Orleans, LA 70115
  • Reassigned Medicare billing, Louisiana enrollment
  • 240 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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
50 services48 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
41 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

St Charles Parish Hospital

Acute Care Hospitals · Luling, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190079
Location1057 Paul Maillard RoadLuling, LA 70070 · St. Charles County
Emergency services

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190274
Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County
Emergency services Birthing friendly

Prevost Memorial Hospital

Critical Access Hospitals · Donaldsonville, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191308
Location301 Memorial DrDonaldsonville, LA 70346 · Ascension County
Emergency services

Pointe Coupee General Hospital

Critical Access Hospitals · New Roads, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191316
Location2202 False River DriveNew Roads, LA 70760 · Pointe Coupee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 Sumanth Punukollu's NPI number?

The NPI number for Sumanth Punukollu is 1891919395. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Sumanth Punukollu located?

Sumanth Punukollu practices at 5960 Siegen Ln, Apt 9110, Baton Rouge, LA 70809. The listed phone number is (402) 218-9919.

What is Sumanth Punukollu's specialty?

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

Is Sumanth Punukollu enrolled in Medicare?

Yes. Sumanth Punukollu 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 Sumanth Punukollu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumanth Punukollu reassigns Medicare benefits to 8 organizations: Ochsner Clinic LLC (Baton Rouge, LA), St. John Emergency Group LLC (La Place, LA), St Martin Emergency Group LLC (Breaux Bridge, LA), Luling Emergency Group LLC (Luling, LA), Kenner Emergency Group LLC (Kenner, LA) and 3 more organizations, listed in the Medicare section above. 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 Sumanth Punukollu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumanth Punukollu accept?

Health plans from AmeriHealth Caritas Next, CHRISTUS Health Plan and HMO Louisiana list Sumanth Punukollu 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 Sumanth Punukollu affiliated with any hospitals?

According to CMS data, Sumanth Punukollu is affiliated with St Charles Parish Hospital, Ochsner Medical Center-Kenner, Prevost Memorial Hospital and Pointe Coupee General Hospital.

When was this NPI record last updated?

The NPPES record for Sumanth Punukollu was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.