Individual provider Active NPI

Elina V Pales, DO

  • Neurology Physician
  • Centennial, CO
National Provider Identifier
1386746949
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
47080 Issued in CO
Practice address
13111 E Briarwood Ave
#370
Centennial, CO 80112-3930
Phone
(720) 441-4410
Fax
(888) 474-7158
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 47080 CO Primary

Addresses

Primary practice location

13111 E Briarwood Ave
#370
Centennial, CO 80112-3930

Mailing address

13111 E Briarwood Ave
#370
Centennial, CO 80112-3930
Phone (720) 441-4410

Other identifiers 3

IdentifierTypeStateIssuer
1352310495OtherMIBCBS
1124463161OtherEMPLOYER NPI
4921071MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090317000223 CO Practitioner - Neurology 7113922279 Reassigns benefits to 3 organizations
I20241009000764 ND Practitioner - Neurology 7113922279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Grand Junction, LLCGroup PAC ID 3779707856, 297 clinicians
South Denver Physicians, PLLCGroup PAC ID 4183852684, 2 clinicians

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

13111 E Briarwood Ave
Suite 370
Centennial, CO 80112-3913
Phone (720) 441-4410

2635 N 7TH St
Grand Junction, CO 81501-8209

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47080COMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Family Medicine Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 5, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 5, 2024 Accepting new patients
South Denver Physicians PLLC Neurology CurrentSince Jul 27, 2013 Accepting new patients
Sanford Medical Center Fargo CurrentSince Oct 8, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 24, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 24, 2023 Accepting new patients
Sanford Medical Center Fargo CurrentSince Oct 8, 2024 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Family Medicine Past Accepting new patients
Colorado Neurodiagnostics PLLC Neurology Past Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

13111 E Briarwood Ave
Ste 370
Centennial, CO 80112
Phone (720) 441-4410

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

2315 E Harmony Rd
Ste 110
Fort Collins, CO 80528
Phone (970) 212-7600

750 Wellington Ave
Ste 3C
Grand Junction, CO 81501
Phone (970) 243-7908

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 12

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 9

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1386746949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE",
            "address_2": "#370",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123930",
            "telephone_number": "720-441-4410",
            "fax_number": "888-474-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE",
            "address_2": "#370",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123930",
            "telephone_number": "720-441-4410",
            "fax_number": "888-474-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALES",
        "first_name": "ELINA",
        "middle_name": "V",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "47080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1352310495",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER NPI",
            "identifier": "1124463161",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4921071",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.