Organization Active NPI

John a Puleo MD PL

  • Cardiovascular Disease Physician
  • Sarasota, FL
National Provider Identifier
1891974887
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
JOHN A PULEO MD PL
Practice address
3900 Clark Rd Ste B3
Sarasota, FL 34233
Phone
(941) 379-0088
Fax
(941) 379-0010
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Dr. John A Puleo, MDNPI 1649262882
Title
Owner/President
Phone
(941) 379-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X FL Primary

Addresses

Primary practice location

3900 Clark Rd Ste B3
Sarasota, FL 34233

Mailing address

3900 Clark Rd Ste B3
Sarasota, FL 34233-2369
Phone (941) 379-0088

Other identifiers 2

IdentifierTypeStateIssuer
DG8187OtherFLRAIL ROAD MEDICARE
379868200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080214000560 FL Part B Supplier - Clinic/Group Practice 6800979741 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

3920 Bee Ridge Rd
Ste E-D
Sarasota, FL 34233
Phone (941) 379-0088

5741 Bee Ridge Rd
Ste 530
Sarasota, FL 34233
Phone (941) 487-2160

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBGGAD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1891974887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE B3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332369",
            "telephone_number": "941-379-0088",
            "fax_number": "941-379-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE B3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-379-0088",
            "fax_number": "941-379-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A PULEO MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "PULEO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "941-379-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DG8187",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379868200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.