Active NPI
Trista Jacobia Punt, DO, MS
- Obstetrics & Gynecology Physician
- Pontiac, MI
National Provider Identifier
1609667567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5151017624
- Practice address
- 44405 Woodward Ave
Graduate Medical Education Dept.
Pontiac, MI 48341-5023 - Phone
- (248) 931-8222
- NPI assigned
- May 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5151017624 | MI | Primary |
Addresses
Primary practice location
44405 Woodward Ave
Graduate Medical Education Dept.
Pontiac, MI 48341-5023
Mailing address
44405 Woodward Ave
Graduate Medical Education Dept.
Pontiac, MI 48341-5023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5151017624 | Other | MI | OSTEOPATHIC PHYSICIAN EDUCATIONAL LIMITED LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521003370 | MI | Order and Referring Only - Obstetrics/Gynecology | 5294254389 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151017624 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1609667567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"address_2": "GRADUATE MEDICAL EDUCATION DEPT.",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"address_2": "GRADUATE MEDICAL EDUCATION DEPT.",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415023",
"telephone_number": "248-931-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNT",
"first_name": "TRISTA",
"middle_name": "JACOBIA",
"credential": "DO, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5151017624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSTEOPATHIC PHYSICIAN EDUCATIONAL LIMITED LICENSE",
"identifier": "5151017624",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.