Individual provider Active NPI

Yi-Wen Michelle Pu, M.D., M.H.A.

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1912136409
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N4003 Issued in TX
Practice address
1333 Moursund St
Houston, TX 77030-3405
Phone
(713) 799-6927
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X N4003 TX Primary

Addresses

Primary practice location

1333 Moursund St
Houston, TX 77030-3405

Mailing address

1333 Moursund Avenue
Houston, TX 77030

Other identifiers 1

IdentifierTypeStateIssuer
205038701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090807000641 TX Practitioner - Physical Medicine and Rehabilitation 2567515505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 394-6000

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Houston Methodist Hospital Inpatient rehabilitation facility, Houston, TX, CCN 45T358

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Pu, M.D., P.a. Physical Medicine & Rehabilitation CurrentSince Feb 16, 2016 Accepting new patients
Steven K. Lin, M.D., P.a. Past Accepting new patients

Locations

9551 Fannin St
Houston, TX 77045
Phone (713) 331-0259

2121 Business Center Dr
Pearland, TX 77584
Phone (346) 200-8849

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 2

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 3

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1912136409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 MOURSUND AVENUE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MOURSUND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303405",
            "telephone_number": "713-799-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PU",
        "first_name": "YI-WEN",
        "middle_name": "MICHELLE",
        "credential": "M.D., M.H.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N4003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205038701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.