1. Home
  2. Directory
  3. Florida
  4. Aventura
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

AUTUMN POUGH MD
NPI 1477354470
Student in an Organized Health Care Education/Training Program in Aventura, FL

Active since March 24, 2025PECOS Enrolled
20900 BISCAYNE BLVD, AVENTURA, FL 33180(208) 701-4137 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Autumn Pough Md NPPES

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

AUTUMN POUGH MD (NPI 1477354470) is an individual student in an organized health care education/training program in Aventura, Florida and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477354470
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAUTUMN POUGHCredential: MD
Location Address20900 BISCAYNE BLVDAventura, FL 33180-1407
Mailing Address20900 Biscayne BlvdAventura, FL 33180-1407 · (208) 701-4137
Phone(208) 701-4137
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1477354470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20900 BISCAYNE BLVD, Aventura, FL 33180
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Pough Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRERNA SUBODH SHARMA
Internal Medicine (Critical Care Medicine)
20900 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (615) 519-8685
MINA ADEL AYAD MD
Internal Medicine (Gastroenterology)
20900 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 682-7000
HARMAN PREET KAUR DO
Emergency Medicine
20900 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 692-3392
MRS. CARRIE A SCHAUER PT
Physical Therapist
20900 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 937-5802
DALINA PADRON MD
Anesthesiology
20900 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 682-7000
JOSE MARIO ENRIQUE ACOSTA-RULLAN
Student in an Organized Health Care Education/Training Program
20900 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 682-7000
JESSE FRIEDLANDER SIMON
Student in an Organized Health Care Education/Training Program
20900 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 692-3325
MAX BRESSLER
Student in an Organized Health Care Education/Training Program
20900 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 692-3325

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 Autumn Pough's NPI number?

The NPI number for Autumn Pough is 1477354470. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Autumn Pough located?

Autumn Pough practices at 20900 Biscayne Blvd, Aventura, FL 33180. The listed phone number is (208) 701-4137.

What is Autumn Pough's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Autumn Pough enrolled in Medicare?

Yes. Autumn Pough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Autumn Pough was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.