Mirna Aurora Puesan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K3404 Issued in TX

Practice address

26077 Nelson Way Ste 1202
Katy, TX 77494-6698

Phone

(713) 785-1272

Fax

(713) 785-1295

NPI assigned

Apr 12, 2007

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, GU2 enrollments

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 2

Specialty

Internal MedicineAlso: Preventive Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

General Conference Corp of SdaGroup PAC ID 6608777628, 52 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22839/brand/1/csg/1/fhir/r4
• Direct secure messaging: mirna.puesan.1@22839.direct.athenahealth.com

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.

• Perfect Lifestyle

  dba Lifestyle Medicine Clinic

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1114566023
  Medicare reassignment NPD Authorized official
• General Conference Corp of Sda

  dba Guam Seventh-Day Adventist Clinic

  • Clinic/Center
  • Tamuning, GU
  • NPI 1275586877
  Medicare reassignment Care Compare group NPD
• Perfect Lifestyle

  dba Life's Perfect 7

  • Occupational Medicine Clinic/Center
  • Katy, TX
  • NPI 1417545047

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1629292594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26077 NELSON WAY STE 1202",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946698",
            "telephone_number": "713-785-1272",
            "fax_number": "713-785-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26077 NELSON WAY STE 1202",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946698",
            "telephone_number": "713-785-1272",
            "fax_number": "713-785-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUESAN",
        "first_name": "MIRNA",
        "middle_name": "AURORA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3404",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "K3404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psych Health and Wellness PLLC
• Regan Lee Puckett, MD
• Adriana Puente
• Lianett Puentes
• Marisa Puerta
• Nilda Aurora Puesan
• Rachana Pujara
• Meghna Sameer Purao
• Erin Purcell
• Pure Psychiatry and Wellness Center PLLC

• Internal Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.
• 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.