Ismail Penukonda, MD
NPI 1710144993 · Family Medicine Physician · Grapevine, TX
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ismail Penukonda, MD is a Family Medicine Physician provider in Grapevine, TX (NPI 1710144993).
Provider details
- NPI number
- 1710144993
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD.204783 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-16
- Last updated
- 2024-03-29
- Certified
- 2024-03-29
Frequently asked questions
- What is Ismail Penukonda's NPI number?
- Ismail Penukonda's National Provider Identifier (NPI) is 1710144993, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ismail Penukonda's specialty?
- Ismail Penukonda is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ismail Penukonda located?
- Ismail Penukonda's practice location on file with NPPES is 3213 Brighton Cv, Grapevine, TX 76051-1101.
- What is Ismail Penukonda's phone number?
- The practice phone number listed in the NPPES registry for Ismail Penukonda is (737) 786-5700.
- Does Ismail Penukonda accept Medicare?
- Ismail Penukonda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ismail Penukonda's NPI active?
- Yes — Ismail Penukonda's NPI (1710144993) is active in the NPPES registry as of the last update on 2024-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.