Individual provider Active NPI

Paul D Rastrelli, M.D.

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1366492480
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36999 Issued in CO
Practice address
3155 N Union Blvd
Colorado Springs, CO 80907-8703
Phone
(719) 630-3937
Fax
(719) 635-3578
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 36999 CO Primary

Addresses

Primary practice location

3155 N Union Blvd
Colorado Springs, CO 80907-8703

Mailing address

3155 N Union Blvd
Colorado Springs, CO 80907-8703
Phone (719) 630-3937

Other identifiers 11

IdentifierTypeStateIssuer
01369990MedicaidCO
0452890001OtherCOMEDICARE DMERC
920717020820OtherCTEYE SPECIALISTS
CO6999OtherCOEYE MED EYECARE
NM009J51OtherCOBCBS NM
343327601MedicaidNM
K2189OtherCOFEDERAL BCBS
343327601OtherCONM MEDICARE
180043214OtherCORAILROAD MEDICARE
K2189OtherCOANTHEM
RAK2189OtherCOBCBS NORTH DAKOTA

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
I20100903000550 CO Practitioner - Ophthalmology 5092758037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Britt a Buckley MD PCGroup PAC ID 0840267217, 8 clinicians

Practice addresses (Care Compare)

3155 N Union Blvd
Peak Vision Center
Colorado Springs, CO 80907-8703
Phone (719) 630-3937

Hospital & facility affiliations

  • Heart of the Rockies Regional Medical Center Hospital, Salida, CO, CCN 061322

Merit-based Incentive Payment System (MIPS)

Final score
88.49 of 100Reported as group
Quality
89.62
Improvement activities
40
Cost
75.47

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
21.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36999COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Britt a Buckley MD PC CurrentSince Aug 5, 2024 Accepting new patients
Rocky Mountain Eye Center Inc a Colorado Provider Network Ophthalmology Current Accepting new patients
Pueblo Co Ophthalmology ASC LLC Past Accepting new patients

Locations

2776 E Main St
Canon City, CO 81212
Phone (719) 275-1523

3155 N Union Blvd
Colorado Springs, CO 80907
Phone (719) 219-1312

1755 Telstar Dr
Ste 211
Colorado Springs, CO 80920
Phone (719) 630-3937

1402 Fortino Blvd
Pueblo, CO 81008
Phone (719) 404-4040

4026 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 630-3937

27 Montebello Rd
Pueblo, CO 81001
Phone (719) 545-1530

3954 Sandalwood Ln
Pueblo, CO 81005
Phone (719) 561-2244

7162 County Road 154
Unit B
Salida, CO 81201
Phone (719) 539-3518

Interoperability endpoints

  • Direct secure messaging: paul.rastrelli.p1@direct.rmec.nextgenshare.com
  • Direct secure messaging: prastrelli@skyline.intellechartdirect.net

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.

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1366492480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078703",
            "telephone_number": "719-630-3937",
            "fax_number": "719-635-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078703",
            "telephone_number": "719-630-3937",
            "fax_number": "719-635-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTRELLI",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "36999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01369990",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0452890001",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE SPECIALISTS",
            "identifier": "920717020820",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED EYECARE",
            "identifier": "CO6999",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM009J51",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343327601",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "K2189",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM MEDICARE",
            "identifier": "343327601",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180043214",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "K2189",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NORTH DAKOTA",
            "identifier": "RAK2189",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.