MICHAEL DAVID PURICELLI M.D.
NPI 1679834089
Otolaryngology - Pediatric Otolaryngology in Overland Park, KS

Q: What is Michael Puricelli's NPI number?

The NPI number for Michael Puricelli is 1679834089. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Q: What is Michael Puricelli's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Q: When was this NPI record last updated?

The NPPES record for Michael Puricelli was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 01, 2012PECOS Enrolled

5808 W 110TH ST, OVERLAND PARK, KS 66211(913) 696-8000 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 2, 2024, Jan 27, 2021, Jun 22, 2020 and 2 more (5 updates tracked since 2018).

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About Michael David Puricelli M.d. NPPES

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

MICHAEL DAVID PURICELLI M.D. (NPI 1679834089) is an individual pediatric otolaryngology provider in Overland Park, Kansas, licensed in Missouri (2024039721) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1679834089

Entity TypeIndividualMale

Primary Taxonomy207YP0228X

Provider Legal NameMICHAEL DAVID PURICELLICredential: M.D.

Location Address5808 W 110TH STOverland Park, KS 66211-2504

Mailing Address2401 Gillham RdKansas City, MO 64108-4619 · (816) 234-3000

Phone(913) 696-8000

Sole ProprietorYes

Enumeration DateJune 1, 2012

Last NPPES UpdateOctober 2, 20245 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1679834089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

Licenses✔ Licensed in MO · 2024039721✔ Licensed in KS · 04-49773

Definition

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.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 73082-20 (WI)

Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License 2024039721 (MO), 04-49773 (KS)

5808 W 110TH ST, Overland Park, KS 66211

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Secondary Practice Location 1

Location 1600 Highland AveMadison, WI 53792-1009 · Phone (608) 263-6420 · Fax (608) 265-7004

Other Identifiers 2

Other2024039721MO · Mo Board Of Healing Arts

Other04-49773KS · Kansas Board Of Health Arts

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael David Puricelli M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Puricelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kansas University Physicians Inc

9.0 mi

Internal Medicine

4000 CAMBRIDGE ST
Kansas City, KS 66160

Reassigned Medicare billing, Kansas enrollment
2,139 clinicians in this Medicare group

NPI 1003858333 (913) 588-2527

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

76%97 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%113 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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