Louis Puppo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101048370 Issued in VA

Practice address

10692 Crestwood Dr Ste B
Manassas, VA 20109

Phone

(703) 754-1524

Fax

(703) 754-7661

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: louis.puppo.1@9573.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 and National Provider Directory roles.

• DLP Rutherford Physician Practices LLC

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1962821322

  Pediatrics

  Medicare reassignment NPD
• DLP Rutherford Physician Practices LLC

  • Rural Health Clinic/Center
  • Rutherfordton, NC
  • NPI 1720849391
  NPD
• Pediatric Associates of Prince William County, LLC

  • Pediatrics Physician
  • Manassas, VA
  • NPI 1053592204
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1699802942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10692 CRESTWOOD DR STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094410",
            "telephone_number": "703-754-1524",
            "fax_number": "703-754-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10692 CRESTWOOD DR STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20109",
            "telephone_number": "703-754-1524",
            "fax_number": "703-754-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPPO",
        "first_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101048370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699802942",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Arthur Pugh
• Himani Pulivarthi, MD
• Ranjit R Pullarkat, MD
• Pump With Purpose LLC
• Vincy M Punnoose, BDS
• Christa M Purdum, PA
• Candice Purnell, CD(DONA)
• Nita Putnam, CCC-SLP
• PW Urology Obs LLC
• PWNC PC Corp

• Pediatrics Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.

Verify at the official NPI Registry.