Individual provider Active NPI

Vincent Puccia, M.D.

  • Surgery Physician
  • Terre Haute, IN
National Provider Identifier
1619979671
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01042714 Issued in IN
Practice address
1818 N 6TH St
Terre Haute, IN 47804-4021
Phone
(812) 232-1123
Fax
(812) 232-1409
NPI assigned
Jun 2, 2005
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01042714 IN Primary

Addresses

Primary practice location

1818 N 6TH St
Terre Haute, IN 47804-4021

Mailing address

1818 N 6TH St
Terre Haute, IN 47804-4021
Phone (812) 232-1123

Other identifiers 2

IdentifierTypeStateIssuer
020024123OtherINMEDICARE RAILROAD
100373320AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100324001046 IN Practitioner - General Surgery 7012043425 Reassigns benefits to 2 organizations
Practice locations: Brazil, IN; Terre Haute, IN

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnam County HospitalGroup PAC ID 1951396605, shared by 27 NPIs, 46 clinicians

Practice addresses (Care Compare)

1542 S Bloomington St
Greencastle, IN 46135-2212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042714INMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Surgical Specialties Surgery CurrentSince Mar 1, 2024 Accepting new patients
Putnam County Hospital CurrentSince Mar 1, 2024 Accepting new patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital Current Accepting new patients

Locations

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700

1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700

Interoperability endpoints

  • Direct secure messaging: vpuccia956391@direct.franciscanalliance.org

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1619979671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044021",
            "telephone_number": "812-232-1123",
            "fax_number": "812-232-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044021",
            "telephone_number": "812-232-1123",
            "fax_number": "812-232-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCIA",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01042714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020024123",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100373320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.