Active NPI
Theresa Jones Pugh, M.D.
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1962450205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L8901
- Practice address
- 3410 Far West Blvd Ste 100
Austin, TX 78731-3187 - Phone
- (512) 717-9775
- Fax
- (855) 613-4358
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L8901 | TX | Primary |
Addresses
Primary practice location
3410 Far West Blvd Ste 100
Austin, TX 78731-3187
Mailing address
3410 Far West Blvd Ste 100
Austin, TX 78731-3187
Phone (512) 717-9775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L8901 | Other | TX | MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Virginia Commonwealth University, School of Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3410 Far W Blvd
Suite 100
Austin, TX 78731-3187
Phone (512) 717-9775
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8901 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharon Hausman-Cohen, MD, PA | Family Medicine | Current | Accepting new patients |
| Jefferson Street Family Practice | Family Medicine | Past | Accepting new patients |
Locations
3410 Far West Blvd
Ste 100
Austin, TX 78731
Phone (512) 346-5735
Interoperability endpoints
- theresa.pugh.1@11208.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1871690040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1962450205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 FAR WEST BLVD STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313187",
"telephone_number": "512-717-9775",
"fax_number": "855-613-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 FAR WEST BLVD STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313187",
"telephone_number": "512-717-9775",
"fax_number": "855-613-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "THERESA",
"middle_name": "JONES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L8901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "L8901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.