Individual provider Active NPI

Aileen Feliza Puno, MD

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1114163664
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01066130A Issued in IN
Practice address
9351 Cameron Ridge LN
Indianapolis, IN 46240-7797
Phone
(317) 997-3125
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01066130A IN Primary

Addresses

Primary practice location

9351 Cameron Ridge LN
Indianapolis, IN 46240-7797

Mailing address

9351 Cameron Ridge LN
Indianapolis, IN 46240-7797
Phone (317) 997-3125

Other practice location 1

8921 Southpointe Dr
Suite A-1
Indianapolis, IN 46227
Phone (317) 884-7820

Other practice location 2

2625 E 62nd St Ste 2010
Indianapolis, IN 46220-0037
Phone (317) 251-6121

Other identifiers 1

IdentifierTypeStateIssuer
200933960MedicaidIN

Other names 1

  • Aileen Feliza Macada De Los Santos Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apuno399940@Direct.FranciscanAlliance.org Direct
Direct Messaging Address apuno@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180712003629 IN Practitioner - Pediatric Medicine 2365600475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01066130AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
University Family Physicians, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2625 E 62nd St
Ste 2010
Indianapolis, IN 46220
Phone (317) 251-6121

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

Interoperability endpoints

  • Direct secure messaging: apuno399940@direct.franciscanalliance.org
  • Direct secure messaging: apuno@direct.iuhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1114163664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 CAMERON RIDGE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462407797",
            "telephone_number": "317-997-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 CAMERON RIDGE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462407797",
            "telephone_number": "317-997-3125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8921 Southpointe Dr",
            "address_2": "Suite A-1",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46227",
            "country_code": "US",
            "telephone_number": "317-884-7820",
            "fax_number": "317-888-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2625 E 62nd St Ste 2010",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462200037",
            "country_code": "US",
            "telephone_number": "317-251-6121",
            "fax_number": "317-257-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNO",
        "first_name": "AILEEN",
        "middle_name": "FELIZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01066130A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200933960",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apuno399940@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "747 E County Line Rd Ste G",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apuno@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2625 E 62nd St Ste 2010",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462200037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AILEEN FELIZA",
            "last_name": "DE LOS SANTOS",
            "middle_name": "MACADA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.