Individual provider Active NPI

Michael A Puente, MD

  • Neurology Physician
  • Marrero, LA
National Provider Identifier
1982640074
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
017973 Issued in LA
Practice address
1111 Medical Center Blvd
Ste S-750
Marrero, LA 70072
Phone
(504) 340-6976
Fax
(504) 349-6786
NPI assigned
Jun 20, 2006
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 017973 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Ste S-750
Marrero, LA 70072

Mailing address

1111 Medical Center Blvd
Ste S-750
Marrero, LA 70072
Phone (504) 340-6976

Other identifiers 1

IdentifierTypeStateIssuer
1386847MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20060508000118 LA Practitioner - Neurology 8022029941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Tulane University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-2427

1101 Medical Ctr Blvd ER
Marrero, LA 70072-3147
Phone (504) 349-1533

1111 Medical Ctr Blvd
Suite S750
Marrero, LA 70072-3197
Phone (504) 340-6976

4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17973LAMDSocial Worker
017973LAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sono Tech Enterprises, Inc. CurrentSince Jun 5, 2001 Accepting new patients
Culicchia Neurological Clinic, LLC CurrentSince Oct 11, 1990 Accepting new patients
New Orleans Physician Services Inc CurrentSince Mar 1, 2025 Accepting new patients
West Jefferson Holdings, LLC Past Accepting new patients
Medry, LLC PastSince Jun 28, 2021 Accepting new patients

Locations

3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste S750
Marrero, LA 70072

3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017

502 Leontine St
New Orleans, LA 70115
Phone (504) 934-8321

1700 Lindberg Dr
Slidell, LA 70458
Phone (800) 598-7291

Interoperability endpoints

  • Direct secure messaging: mpuente@culicchianeuro1828.srs-direct.com

Organizations & group practices 5

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 12

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1982640074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "STE S-750",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-340-6976",
            "fax_number": "504-349-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "STE S-750",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-340-6976",
            "fax_number": "504-349-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "017973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386847",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.