Individual provider Active NPI

Craig L Perrinjaquet, M.D.

  • Family Medicine Physician
  • Breckenridge, CO
National Provider Identifier
1215933866
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26931 Issued in CO
Practice address
400 N Park Ave
Ste 1-a
Breckenridge, CO 80424-8850
Phone
(970) 547-9200
Fax
(970) 262-2196
NPI assigned
Jun 27, 2005
Last updated
Jul 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26931 CO Primary

Addresses

Primary practice location

400 N Park Ave
Ste 1-a
Breckenridge, CO 80424-8850

Mailing address

P.O. Box 911416
Denver, CO 80291-1416
Phone (970) 547-9200

Other identifiers 1

IdentifierTypeStateIssuer
01269315MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120410000507 CO Practitioner - Family PracticePractitioner - Sports Medicine 3476609439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

429 N Park Ave
PRBC PC Breckenridge
Breckenridge, CO 80424-8709
Phone (970) 547-9200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26931COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2015 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2015 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

400 N Park Ave
#1A
Breckenridge, CO 80424
Phone (970) 547-9200

400 N Park Ave
Ste 1A
Breckenridge, CO 80424
Phone (970) 547-9200

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1215933866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 911416",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911416",
            "telephone_number": "970-547-9200",
            "fax_number": "970-262-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PARK AVE",
            "address_2": "STE 1-A",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248850",
            "telephone_number": "970-547-9200",
            "fax_number": "970-262-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINJAQUET",
        "first_name": "CRAIG",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "26931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01269315",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

Verify at the official NPI Registry.