Individual provider Active NPI

Jonathan Thomas Puchalski, M.D.

  • Pulmonary Disease Physician
  • Guilford, CT
National Provider Identifier
1215909072
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
047218 Issued in CT
Practice address
350 Goose LN Ste 203B
Guilford, CT 06437-2492
Phone
(203) 738-7700
Fax
(203) 689-6500
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35077075 OH
Pulmonary Disease Physician 207RP1001X MD432420 PA
Pulmonary Disease Physician 207RP1001X 047218 CT Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 047218 CT

Addresses

Primary practice location

350 Goose LN Ste 203B
Guilford, CT 06437-2492

Mailing address

350 Goose LN Ste 203B
Guilford, CT 06437-2492
Phone (203) 738-7700

Other practice location 1

250 Indian River Rd Ste 300
Orange, CT 06477-3695
Phone (203) 738-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.puchalski@xdr.hhchealthdirect.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VI, KY, VT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090416000440 CT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4789693706 Reassigns benefits to 2 organizations
I20220615000693 VI Practitioner - Critical Care (Intensivists) 4789693706 Reassigns benefits to 1 organization
I20240816002819 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4789693706 Reassigns benefits to 1 organization
I20250212000141 VT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4789693706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Wright State University Boonshoft School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians

Practice addresses (Care Compare)

350 Goose LN
Suite 203B
Guilford, CT 06437-2492
Phone (203) 408-2700

Hospital & facility affiliations

  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047218CTMDPulmonary Disease Physician
35077075OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC Current Accepting new patients
HHC Physician Services, PLLC Critical Care Medicine CurrentSince Jul 7, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 19, 2022 Accepting new patients
Rutland Hospital, Inc. CurrentSince Jan 20, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Rutland Hospital, Inc. CurrentSince Jan 20, 2025 Accepting new patients
Ccmma NJ LLC Critical Care Medicine CurrentSince Apr 27, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Ccmma SC LLC Critical Care Medicine CurrentSince Jan 1, 2023 Accepting new patients
HHC Physician Services, PLLC CurrentSince Jul 7, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 19, 2022 Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

350 Goose Ln
Ste 203B
Guilford, CT 06437
Phone (203) 408-2700

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

2407 Ring Rd
Ste 114
Elizabethtown, KY 42701
Phone (270) 706-5787

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

160 Allen St
Rutland, VT 05701

Interoperability endpoints

  • Direct secure messaging: jpuchalski1254515@direct.sw.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1215909072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GOOSE LN STE 203B",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372492",
            "telephone_number": "203-738-7700",
            "fax_number": "203-689-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GOOSE LN STE 203B",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372492",
            "telephone_number": "203-738-7700",
            "fax_number": "203-689-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Indian River Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064773695",
            "country_code": "US",
            "telephone_number": "203-738-7700",
            "fax_number": "203-689-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCHALSKI",
        "first_name": "JONATHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35077075",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD432420",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "047218",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "047218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.puchalski@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "350 Goose Ln Ste 203B",
            "city": "Guilford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064372492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.