Individual provider Active NPI

Persis Celina Puello, MD

  • Family Medicine Physician
  • Tarpon Springs, FL
National Provider Identifier
1740742766
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME155116 Issued in FL
Practice address
247 S Huey Ave
Tarpon Springs, FL 34689-4205
Phone
(727) 824-8181
NPI assigned
Apr 1, 2019
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20231201001373 FL Practitioner - Family PracticePractitioner - Sports Medicine 2365778214 Reassigns benefits to 1 organization
I20250523002276 TX Practitioner - Family PracticePractitioner - Sports Medicine 2365778214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Pinellas IncGroup PAC ID 8527961028, shared by 20 NPIs, 65 clinicians

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

LicenseStateTypeSpecialty
ME155116FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Slope Native Association LTD CurrentSince Jan 1, 2023 Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Oct 15, 2025 Accepting new patients
Community Health Center of Pinellas Inc Family Medicine Current Accepting new patients
Community Health Centers of Pinellas Inc. Family Medicine CurrentSince Oct 15, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.