NPIMap

Individual provider Active NPI

Michelle Grace Puzdrakiewicz, M.D.

  • Pediatrics Physician
  • Jefferson, LA
National Provider Identifier
1376526392
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
308800 Issued in LA
Practice address
1514 Jefferson Hwy
Jefferson, LA 70121-2451
Phone
(504) 842-3000
NPI assigned
Nov 23, 2005
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 308800 LA Primary
Pediatrics Physician 208000000X A67302 CA

Addresses

Primary practice location

1514 Jefferson Hwy
Jefferson, LA 70121-2451

Mailing address

2328 Chartres St
New Orleans, LA 70117-8605
Phone (731) 267-5152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724002568 LA Practitioner - Pediatric Medicine 8527159011 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42447TNMDPharmacist
308800LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jun 25, 2018 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 25, 2018 Accepting new patients
West Tennessee Medical Group Inc Pediatrics Past Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients
Valley Children's Medical Group Pediatrics Past Accepting new patients
Dyersburg Health Past Accepting new patients
Medsouth Healthcare PC Pediatrics Past Accepting new patients
Pediatric Associates of West Tennessee PLLC PastSince Sep 1, 2016 Accepting new patients
Jackson Clinic PA Past Accepting new patients
Ochsner Clinic Foundation Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

Interoperability endpoints

  • Direct secure messaging: mpuzdrakiewicz562262@direct.ochsner.org
  • Direct secure messaging: mpuzdrakiewicz80788@valleychildrens-prd.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1376526392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 CHARTRES ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178605",
            "telephone_number": "731-267-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212451",
            "telephone_number": "504-842-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZDRAKIEWICZ",
        "first_name": "MICHELLE",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "308800",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A67302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

Verify at the official NPI Registry.