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Deactivated NPI 1720092992 Deactivated / Inactive NPI Male Practitioner

Dr. Punnoose Pachikara , MD

General Practice • Murphysboro, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Punnoose Pachikara has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2006
NPI Deactivation Date February 13, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Punnoose Pachikara, MD was a registered General Practice practicing in Murphysboro, IL. Throughout an active medical career spanning 11 years, Dr. Pachikara provided care at the practice location at 1135 ROBERTA DRIVE until profile deactivation on 2017-02-13.

Practice Location & Contact Primary Location

Practice Address

1135 Roberta Drive

Murphysboro, IL 629662918

Telephone 6186872716

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Murphysboro, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Murphysboro, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 13, 2017

Record deactivated on February 13, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1135 ROBERTA DRIVE, MURPHYSBORO, IL 629662918 (Tel: 6186872716)

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Updated Business Mailing Address July 08, 2007

Registered at 1135 ROBERTA DRIVE, MURPHYSBORO, IL 629662918 (Tel: 6186872716)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PUNNOOSE PACHIKARA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice

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Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720092992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: July 08, 2007
Deactivation Date: February 13, 2017

Mailing Address

1135 Roberta Drive

Murphysboro, IL 629662918

Phone: 6186872716

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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