Jared Pelo, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2016-01660 Issued in NC

Practice address

600 Park Offices Dr Ste 140
Durham, NC 27709-1009

Phone

(919) 885-4660

NPI assigned

May 9, 2008

Last updated

Jul 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bionic Medical PLLC

  • Clinic/Center
  • Research Triangle Park, NC
  • NPI 1558045690
  NPD Authorized official
• North Carolina Em I Medical Services P C

  • Physician Assistant
  • Elizabeth City, NC
  • NPI 1255581443
  NPD (past)
• Carilion Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Blacksburg, VA
  • NPI 1407667256
  NPD (past)
• Centra Medical Group Southside, LLC

  • Family Medicine Physician
  • Farmville, VA
  • NPI 1841479565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1144497181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 COBSCOOK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075706",
            "telephone_number": "434-242-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK OFFICES DR STE 140",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277091009",
            "telephone_number": "919-885-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Tate Springs Road",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011167",
            "country_code": "US",
            "telephone_number": "434-200-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELO",
        "first_name": "JARED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101246691",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2016-01660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Jose Pellegrini Pucci, M.D.
• Deidre Pelletier, PA-C
• Gary Pellom, M.D.
• Kirstin M Pellom, CRNA
• Jennifer J Pells, PHD
• Devon Chubb Pelto, LCSWA, LCASA
• Pelvic Piece Physio, Inc.
• Ronald Pemberton, PTA
• Claudia Helen Pena, MD
• Bridget Carraway Penaskovic, LCSW

• Emergency Medicine Physician in Durham, NC
• Providers in Durham, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.