Active NPI
Elizabeth Puyo, BA
- Otolaryngology Physician
- Saint Louis, MO
National Provider Identifier
1912835158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2026025449
- Practice address
- 4590 Nash Way
Saint Louis, MO 63110-1020 - Phone
- (314) 630-1590
- NPI assigned
- May 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2026025449 | MO | Primary |
Addresses
Primary practice location
4590 Nash Way
Saint Louis, MO 63110-1020
Mailing address
742 Yale Ave
University City, MO 63130-3119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260617003218 | MO | Order and Referring Only - Otolaryngology | 0840762118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1912835158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 YALE AVE",
"city": "UNIVERSITY CITY",
"state": "MO",
"postal_code": "631303119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4590 NASH WAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101020",
"telephone_number": "314-630-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUYO",
"first_name": "ELIZABETH",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "2026025449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.