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BLOSSOMWOOD MEDICAL
NPI 1144451311
Internal Medicine in Huntsville, AL

Active since August 05, 2009CLIA 01D2022543 · Waiver
2121 WHITESBURG DR SE, SUITE C, HUNTSVILLE, AL 35801(256) 883-0107(256) 883-0207 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blossomwood Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOMWOOD MEDICAL (NPI 1144451311) is a healthcare organization registered as an internal medicine in Huntsville, Alabama and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Vytautas Pukis, Physician, as its authorized official.

NPPES Registry Identity

NPI1144451311
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLOSSOMWOOD MEDICAL PC
Location Address2121 WHITESBURG DR SE, SUITE CHuntsville, AL 35801-4501
Mailing Address2121 Whitesburg Dr Se, Suite CHuntsville, AL 35801-4501 · (256) 883-0107 · Fax (256) 883-0207
Phone(256) 883-0107
Fax(256) 883-0207
Organization SubpartNo
Authorized OfficialVytautas PukisPhysician · (256) 431-9257
Enumeration DateAugust 5, 2009
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1144451311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD29689
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2121 WHITESBURG DR SE, Huntsville, AL 35801
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Other Names 1

Doing Business AsBlossomwood Medical

Other Identifiers 2

Medicaid113285AL
Medicare PIN102G114374AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blossomwood Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blossomwood Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vytautas Pukis, M.D.
Internal Medicine
NPI 1225270440
2121 WHITESBURG DR SE SUITE C
Huntsville, AL 35801
(256) 883-0107
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2022543

Blossomwood Medical · Huntsville, AL
Active · expires Apr 4, 2027
CLIA Number01D2022543
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorDr. Vytautas Pukis MD
Laboratory Phone(256) 883-0107
Laboratory LocationBlossomwood Medical2121 Whitesburg Dr, Huntsville, AL 35801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossomwood Medical PC's NPI number?

The NPI number for Blossomwood Medical PC is 1144451311. It was assigned to this organization in the NPPES registry on August 5, 2009. The provider is doing business as Blossomwood Medical.

Where is Blossomwood Medical PC located?

Blossomwood Medical PC is located at 2121 Whitesburg Dr SE Suite C, Huntsville, AL 35801. The listed phone number is (256) 883-0107.

What is Blossomwood Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Blossomwood Medical PC enrolled in Medicare?

Yes. Blossomwood Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blossomwood Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Blossomwood Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Blossomwood Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2022543) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blossomwood Medical PC was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.