Active NPI
Rudolph B Puana, M.D.
- Anesthesiology Physician
- Houston, TX
National Provider Identifier
1497836498
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Dec 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 12740
- Practice address
- 1515 Holcombe Blvd
Houston, TX 77030-4095 - Phone
- (713) 792-6161
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | M3702 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 12740 | HI | |
| Anesthesiology Physician | 207L00000X | 12740 | HI | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd
Houston, TX 77030-4095
Mailing address
PO Box 7127
Kamuela, HI 96743-7127
Phone (808) 315-1921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12740 | HI | MD | Anesthesiology Physician |
| M3702 | TX | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha Pain Clinic, LLC | Current | Accepting new patients | |
| S&G Labs Hawaii LLC | Past | Accepting new patients | |
| S&G Labs Hawaii LLC | Past | Accepting new patients | |
| The Anesthesia Medical Group Inc | Anesthesiology | Past | Accepting new patients |
Locations
53 S Puunene Ave
Ste 123
Kahului, HI 96732
Phone (808) 873-0299
Organizations & group practices 4
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.
-
- Pain Clinic/Center
- Waikoloa, HI
- NPI 1174756662
-
- Clinical Medical Laboratory
- Kailua Kona, HI
- NPI 1477925188
-
- Clinical Medical Laboratory
- Englewood, CO
- NPI 1871348938
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1356362990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1497836498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7127",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967437127",
"telephone_number": "808-315-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304095",
"telephone_number": "713-792-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUANA",
"first_name": "RUDOLPH",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "TX",
"license": "M3702",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "HI",
"license": "12740",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "12740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.