Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Pavan Kumar Punukollu, M.D.

Diagnostic Radiology Physician in Lawrence, MA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366402273

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Registry record

Entity type Individual (Type 1)

Name Pavan Kumar Punukollu

Credential M.D.

Sex Male

Practice address 1 General St, Lawrence, MA, 01841

Phone (978) 683-4000

Enumeration date Mar 24, 2006

Last updated in NPPES Oct 16, 2025

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License ME130248 (FL) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 35.074221 (OH) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 269048 (MA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
000000241778	Other	OH	ANTHEM BCBS
JA839Z	Other	-	MEDICARE PTAN
11286315	Other	-	CAQH
110131865A	Medicaid	MA	-
300132093	Other	OH	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Pavan Punukollu practice?

The practice location on file with NPPES is in Lawrence, MA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Pavan Punukollu?

The National Provider Identifier (NPI) for Pavan Punukollu is 1366402273, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-16.