Jaideep Puri, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME104591 Issued in FL

Practice address

221 Greenwich Cir
Suite 110
Jupiter, FL 33458-2890

Phone

(561) 694-1021

Fax

(561) 694-1908

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Kidney Center LLC Dialysis facility, Jupiter, FL, CCN 102527
• Atlantic Kidney Centers LLC Dialysis facility, West Palm Beach, FL, CCN 102710
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
• Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpuri20647@jupitermedicalcenter.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GBJHCA
• FHIR API: https://fhir4.healow.com/fhir/r4/GBJHCA/Endpoint/GBJHCA

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.

• Jaideep Puri MD PLLC

  • Nephrology Physician
  • Jupiter, FL
  • NPI 1467860106
  Medicare reassignment NPD
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  NPD (past)
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Atlantic Kidney Centers Inc

  • Nephrology Physician
  • West Palm Beach, FL
  • NPI 1881675239

  Dialysis facility

  Care Compare affiliation Name & address match
• Jupiter Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jupiter, FL
  • NPI 1790717791

  Dialysis facility

  Care Compare affiliation Name & address match
• Good Samaritan Medical Center, Inc.

  dba Good Samaritan Medical Center

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• Palm Beach Gardens Community Hospital, Inc.

  dba Palm Beach Gardens Medical Center

  • General Acute Care Hospital
  • Palm Beach Gardens, FL
  • NPI 1144251216
  Care Compare affiliation

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1184673444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 GREENWICH CIR",
            "address_2": "SUITE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582890",
            "telephone_number": "561-694-1021",
            "fax_number": "561-694-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 GREENWICH CIR",
            "address_2": "SUITE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582890",
            "telephone_number": "561-694-1021",
            "fax_number": "561-694-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "JAIDEEP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME104591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64043672",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Pulcino, COTA/L
• Gayle Gerardi Pulice, L.M.T.
• Peter Akins Pullon, D.D.S.
• Pure IV Health & Wellness LLC
• Purformance Wellness Pharmacy LLC (Seven Cells)
• Brittany Myra Purnell
• Sara Putt
• Bozena Puzio-Payne, PA-C
• Quality Medical Supply
• Terry Quan, D.C.

• Nephrology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.