Active NPI
Patricia Anne Duletsky, MD
- Family Medicine Physician
- Salida, CO
National Provider Identifier
1083786701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27538
- Practice address
- 327 E 1St St
Salida, CO 81201-2801 - Phone
- (719) 539-6637
- Fax
- (719) 539-5275
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27538 | CO | Primary |
Addresses
Primary practice location
327 E 1St St
Salida, CO 81201-2801
Mailing address
327 E 1St St
Salida, CO 81201-2801
Phone (719) 539-6637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01275387 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27538 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Health Care PC | Family Medicine | Past | Accepting new patients |
| Valley-Wide Health Systems, Inc. | Past | Accepting new patients | |
| 327 Medical Prof Corp | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Salida, CO
- NPI 1396957114
-
- Family Medicine Physician
- Silverthorne, CO
- NPI 1770785131
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1205652047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083786701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 E 1ST ST",
"city": "SALIDA",
"state": "CO",
"postal_code": "812012801",
"telephone_number": "719-539-6637",
"fax_number": "719-539-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 E 1ST ST",
"city": "SALIDA",
"state": "CO",
"postal_code": "812012801",
"telephone_number": "719-539-6637",
"fax_number": "719-539-5275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULETSKY",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "27538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01275387",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salida, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.