Individual provider Active NPI

Timothy Puri, M.D.

  • Internal Medicine Physician
  • South San Francisco, CA
National Provider Identifier
1235458092
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD440738 Issued in PA
Practice address
395 Oyster Point Blvd Ste 512
South San Francisco, CA 94080-1973
Phone
(650) 826-2945
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IMLC.MD.61522619 WA
Internal Medicine Physician 207R00000X C144889 CA
Internal Medicine Physician 207R00000X 340554 NY
Internal Medicine Physician 207R00000X MD440738 PA Primary
Internal Medicine Physician 207R00000X 2022-02418 NC

Addresses

Primary practice location

395 Oyster Point Blvd Ste 512
South San Francisco, CA 94080-1973

Mailing address

190 W Sproul Rd
Springfield, PA 19064-2027
Phone (610) 338-2785

Other practice location 1

190 W Sproul Rd
Springfield, PA 19064-2027
Phone (610) 338-2785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, NC, NY4 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
I20170925001934 CA Practitioner - Internal Medicine 8729261557 Reassigns benefits to 3 organizations
I20240307003358 WA Practitioner - Internal Medicine 8729261557 Reassigns benefits to 2 organizations
I20251010002472 NC Practitioner - Internal Medicine 8729261557 Reassigns benefits to 2 organizations
I20260508001375 NY Practitioner - Internal Medicine 8729261557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5750 Johnston St
Suite 205
Lafayette, LA 70503-5300

5750 Johnston St
Suite 205
Lafayette, LA 70503-5345

8911 N Capital of Texas Hwy
Suite 1110
Austin, TX 78759-7203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34282SCMDSchool Registered Nurse
340554NYMDLicensed Vocational Nurse
C144889CAMDInternal Medicine Physician
2022-02418NCMDInternal Medicine Physician
IMLC.MD.61522619WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of California PC Internal Medicine CurrentSince Feb 25, 2025 Accepting new patients
Bastion Health PC Family Medicine CurrentSince Feb 17, 2024 Accepting new patients
Physicians Eldercare PA CurrentSince Jul 28, 2025 Accepting new patients
CH Specialty Services Ca PC Internal Medicine CurrentSince Feb 25, 2025 Accepting new patients
Curana Health of Washington PLLC Internal Medicine CurrentSince Apr 4, 2025 Accepting new patients
Curana Health of North Carolina PLLC Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
Health Access Network Past Accepting new patients
CH Specialty Services Wa PLLC Internal Medicine PastSince Apr 4, 2025 Accepting new patients

Locations

3415 S Sepulveda Blvd
Ste 1100
Los Angeles, CA 90034
Phone (424) 348-4558

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

188 Oscar Justice Rd
Rutherfordton, NC 28139
Phone (828) 286-9001

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

Interoperability endpoints

  • Direct secure messaging: tpuri@landmarkhealth-direct.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1235458092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642027",
            "telephone_number": "610-338-2785",
            "fax_number": "610-338-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 OYSTER POINT BLVD STE 512",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801973",
            "telephone_number": "650-826-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 W Sproul Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642027",
            "country_code": "US",
            "telephone_number": "610-338-2785",
            "fax_number": "610-338-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURI",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "IMLC.MD.61522619",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C144889",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "340554",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440738",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2022-02418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.