Organization Active NPI

Ted J Puls MD PC

  • Family Medicine Physician
  • Pueblo, CO
National Provider Identifier
1245283134
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TED J PULS MD PC
Practice address
1619 N Greenwood St Ste 208
Pueblo, CO 81003-2656
Phone
(719) 561-4336
Fax
(719) 561-8469
NPI assigned
May 19, 2006
Organization subpart
Yes
Parent organization
TED J PULS MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Dr. Ted J Puls, MD
Title
MD
Phone
(719) 561-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1619 N Greenwood St Ste 208
Pueblo, CO 81003-2656

Mailing address

1619 N Greenwood St Ste 208
Pueblo, CO 81003-2656
Phone (719) 561-4336

Other names 1

  • Theodore Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040921000824 CO Part B Supplier - Clinic/Group Practice 5294703831 Receives reassigned benefits from 3 practitioners
Practice locations: Pueblo, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0716514Ted J Puls MD PC1619 N Greenwood St, Pueblo, CO 81003Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Ted J Puls MD PC

Locations

1316 N Grand Ave
#M
Pueblo, CO 81003
Phone (719) 561-4336

1316 N Grand Ave
Pueblo, CO 81003
Phone (719) 583-9050

1925 E Orman Ave
Ste 115
Pueblo, CO 81004
Phone (719) 561-4336

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1245283134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST STE 208",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032656",
            "telephone_number": "719-561-4336",
            "fax_number": "719-561-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST STE 208",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032656",
            "telephone_number": "719-561-4336",
            "fax_number": "719-561-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED J PULS MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TED J PULS MD PC",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "PULS",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "719-561-4336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theodore",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Theodore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.