Active NPI
Persis Celina Puello, MD
- Family Medicine Physician
- Tarpon Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME155116
- Practice address
- 247 S Huey Ave
Tarpon Springs, FL 34689-4205 - Phone
- (727) 824-8181
- NPI assigned
- Apr 1, 2019
- Last updated
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME155116 | FL | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME155116 | FL |
Addresses
Primary practice location
247 S Huey Ave
Tarpon Springs, FL 34689-4205
Mailing address
14100 58TH St N Ste 100
Clearwater, FL 33760-9900
Phone (727) 824-8181
Other practice location 1
101 N Franklin St Ste A
Tampa, FL 33602-5831
Phone (813) 229-2225
Other names 1
- Persis Celina Puello
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Pinellas Inc
Practice addresses (Care Compare)
14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181
247 S Huey Ave
Tarpon Springs, FL 34689-4205
Phone (727) 824-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME155116 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Slope Native Association LTD | Current | Accepting new patients | |
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Community Health Center of Pinellas Inc | Family Medicine | Current | Accepting new patients |
| Community Health Centers of Pinellas Inc. | Family Medicine | Current | Accepting new patients |
Locations
14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224
247 S Huey Ave
Tarpon Springs, FL 34689
Phone (727) 944-3828
Interoperability endpoints
- persis.puello@966080334266372.direct.elationemr.com
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.
-
dba Evara Health
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1467873315
Family Medicine
-
dba Sammuel Simmonds Memorial Hospital
- Critical Access Hospital
- Barrow, AK
- NPI 1306933643
-
dba Evara Health
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1568440287
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1740742766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 58TH ST N STE 100",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 S HUEY AVE",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346894205",
"telephone_number": "727-824-8181"
}
],
"practiceLocations": [
{
"address_1": "101 N Franklin St Ste A",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336025831",
"country_code": "US",
"telephone_number": "813-229-2225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUELLO",
"first_name": "PERSIS",
"middle_name": "CELINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME155116",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME155116",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PERSIS",
"last_name": "PUELLO",
"middle_name": "CELINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.
- 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.