Pavan Kumar Punukollu, M.D.
NPI 1366402273ActiveIndividual· Radiology, Diagnostic Radiology· Lawrence, MA
Radiology, Diagnostic Radiology (M.D.) in Lawrence, Massachusetts, trained at Tufts University School of Medicine (class of 1992). Medicare paid $83,294 for services to 1,790 patients in 2024. Penumbra, Inc. reported $88.56 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1366402273 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 24, 2006 |
| Last updated in NPPES | Oct 16, 2025 |
| Certified by provider | Oct 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 269048 | MA |
| Radiology, Diagnostic Radiology | 2085R0202X | ME130248 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | 35.074221 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (FL); Practitioner - Diagnostic Radiology (MA); Practitioner - Diagnostic Radiology (NC); Practitioner - Diagnostic Radiology (OH); Practitioner - Diagnostic Radiology (SC); Practitioner - Diagnostic Radiology (TN); Practitioner - Diagnostic Radiology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,790 |
|---|---|
| Services billed | 3,037 across 194 procedure codes |
| Paid by Medicare | $83,294 |
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Millennium Physician Group LLCJacksonville, FL · 982 clinicians
- Penn State Health Medical Group LLCCamp Hill, PA · 734 clinicians
- Summit Medical Group, PLLCKnoxville, TN · 652 clinicians
- Wilmington Health PLLCWilmington, NC · 369 clinicians
- Radiology Associates of North Texas PAFort Worth, TX · 346 clinicians
- Quantum Imaging and Therapeutic Associates IncSan Juan, PR · 91 clinicians
- Colonial Family Practice LLCSumter, SC · 62 clinicians
- L and M Radiology IncLawrence, MA · 20 clinicians
Hospital affiliations
- Christus St Michael Health SystemTexarkana, TX
- Longview Regional Medical CenterLongview, TX
- Upmc CarlisleCarlisle, PA
- Upmc MemorialYork, PA
- Upmc Pinnacle HospitalsHarrisburg, PA
Industry payments (Open Payments)
- 2024$88.56 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $88.56 | 1 |
What the 2024 payments were for
- Food and Beverage$88.56 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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