Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Puccia, MD

Individual provider Facial Plastic Surgery Physician · NPI 1104357425

Ryan Puccia, MD is an Otolaryngology in Wauwatosa, Wisconsin. Graduated from Indiana University School of Medicine in 2017, 9 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Trained at
Indiana University School of Medicine
Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1155 N Mayfair Rd Dept OF
Wauwatosa, WI 53226-3462
Phone: (414) 955-5990
Fax: (414) 955-6282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 70160 (WI)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence 70160 (WI)

Record details

NPI number1104357425
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing address1155 N Mayfair Rd Dept Of, Wauwatosa, WI 53226-3462

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare