MICHAEL DAVID PURICELLI M.D. NPI 1679834089

NPI Information

  • NPI: 1679834089
  • Provider Name: MICHAEL DAVID PURICELLI, M.D.
  • Classification: Otolaryngology - 207YP0228X
  • Specialization: Pediatric Otolaryngology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5808 W 110TH ST
    OVERLAND PARK, KS
    ZIP 66211
  • Phone: (913) 696-8000

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NPI Details

Michael David Puricelli, M.D. is a pediatric otolaryngology otolaryngology in Overland Park, KS. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. Michael David Puricelli, M.D. NPI is 1679834089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5808 W 110TH ST
OVERLAND PARK, KS
ZIP 66211-504
Phone: (913) 696-8000

The NPI 1679834089 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 enumeration date for this NPI number is 6/1/2012 and was last updated on 10/2/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology73082-20WISCONSINNo
2207YP0228XOtolaryngologyPediatric Otolaryngology04-49773KANSASNo
3207YX0901XOtolaryngologyOtology & Neurotology2024039721MISSOURINo
4207YX0901XOtolaryngologyOtology & Neurotology04-49773KANSASNo
5207YP0228XOtolaryngologyPediatric Otolaryngology2024039721MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12024039721OTHERMISSOURIMO BOARD OF HEALING ARTS
204-49773OTHERKANSASKANSAS BOARD OF HEALTH ARTS

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: 11/21/2025

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