Individual provider Active NPI

George Richard Puente, M.D.

  • Gastroenterology Physician
  • Metairie, LA
National Provider Identifier
1821090192
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20074 Issued in LA
Practice address
4228 Houma Blvd
Ste 520
Metairie, LA 70006-3016
Phone
(504) 456-8020
Fax
(504) 456-8021
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20074 LA Primary

Addresses

Primary practice location

4228 Houma Blvd
Ste 520
Metairie, LA 70006-3016

Mailing address

1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072-3151
Phone (504) 349-6423

Other identifiers 1

IdentifierTypeStateIssuer
1994073MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100804000260 LA Practitioner - Gastroenterology 0345149365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Tulane University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

4224 Houma Blvd
Suite 400
Metairie, LA 70006-2937
Phone (504) 456-8020

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Upper gastrointestinal (GI) endoscopy for acid reflux38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20074LAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 17, 2022 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
New Orleans la Uptown West Bank Endoscopy ASC LLC Current Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince May 1, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 17, 2022 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Past Accepting new patients

Locations

1111 Medical Center Blvd
Ste S460
Marrero, LA 70072
Phone (504) 265-9582

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401

4224 Houma Blvd
Metairie, LA 70006
Phone (504) 455-6523

4224 Houma Blvd
Ste 400
Metairie, LA 70006
Phone (504) 456-8020

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 456-8020

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1821090192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S-450",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6423",
            "fax_number": "504-349-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "STE 520",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063016",
            "telephone_number": "504-456-8020",
            "fax_number": "504-456-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "GEORGE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "20074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994073",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.