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MICHAEL L PUCKETT MD NPI 1043284235


NPI Information

NPI: 1043284235
Provider Name: MICHAEL L PUCKETT, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC

PECOS Registration: Yes

Address:
8745 AERO DR
SUITE 200
SAN DIEGO, CA
ZIP 92123
Phone: (858) 565-0950
Get Directions

Michael L Puckett, MD is a diagnostic radiology radiology in San Diego, CA with 37 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael L Puckett, MD NPI is 1043284235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

8745 AERO DR
SUITE 200
SAN DIEGO, CA
ZIP 92123-774
Phone: (858) 565-0950
Fax: (858) 244-1100

The NPI 1043284235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

The enumeration date for this NPI number is 2/14/2006 and was last updated on 10/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingG64723CALIFORNIANo
22085U0001XRadiologyDiagnostic UltrasoundG64723CALIFORNIANo
32085N0700XRadiologyNeuroradiologyG64723CALIFORNIANo
42085N0904XRadiologyNuclear RadiologyG64723CALIFORNIANo
52085P0229XRadiologyPediatric RadiologyG64723CALIFORNIANo
62085R0202XRadiologyDiagnostic RadiologyG64723CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0083811MEDICAIDCALIFORNIA
2TD009BMEDICARE PINCALIFORNIA
3F89569MEDICARE UPIN
4GR0083812MEDICAIDCALIFORNIA
5GR0083815MEDICAIDCALIFORNIA
6GR0083813MEDICAIDCALIFORNIA
7W529AMEDICARE PINCALIFORNIA
8GR0083817MEDICAIDCALIFORNIA
9GR0083816MEDICAIDCALIFORNIA
10W529MEDICARE PINCALIFORNIA
11HW529BMEDICARE PINCALIFORNIA
12HW529MEDICARE PINCALIFORNIA
13TP110MEDICARE PINCALIFORNIA
14GR0083814MEDICAIDCALIFORNIA
15ZZZ75341ZMEDICAIDCALIFORNIA
16GR0083810MEDICAIDCALIFORNIA
17TD009AMEDICARE PINCALIFORNIA
18TD009MEDICARE PINCALIFORNIA
19HW529AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.