NPIMap

Individual provider Active NPI

Silvia Marisol Puma, MD

  • Family Medicine Physician
  • Enfield, CT
National Provider Identifier
1821662933
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77674 Issued in CT
Practice address
140 Hazard Ave Ste 105
Enfield, CT 06082-5424
Phone
(860) 714-9733
NPI assigned
May 14, 2021
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 77674 CT Primary

Addresses

Primary practice location

140 Hazard Ave Ste 105
Enfield, CT 06082-5424

Mailing address

140 Hazard Ave Ste 105
Enfield, CT 06082-5424
Phone (860) 714-9733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717001295 CT Practitioner - Family Practice 0042755746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 1, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 1, 2024 Accepting new patients
Saint Francis Care Medical Group, PC Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

140 Hazard Ave
Ste 105
Enfield, CT 06082
Phone (860) 684-8478

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

Interoperability endpoints

  • Direct secure messaging: spuma3569174@direct.trinity-health.org

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1821662933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HAZARD AVE STE 105",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825424",
            "telephone_number": "860-714-9733",
            "fax_number": "860-714-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAZARD AVE STE 105",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825424",
            "telephone_number": "860-714-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMA",
        "first_name": "SILVIA",
        "middle_name": "MARISOL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "77674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.