Rural Physicians Group - Pannu PLLC
Organization Active NPI Hospitalist Physician · Sterling, CO
NPI 1417538539 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1417538539
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- RURAL PHYSICIANS GROUP - PANNU PLLC
- Practice address
- 615 Fairhurst St
Sterling, CO 80751-4523 - Phone
- (303) 390-1924
- NPI assigned
- Apr 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Sukhbir S Pannu
- Title
- Ceo/Owner
- Phone
- (702) 933-3266
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 7
Practitioners 11
-
Eric Brandon Martin, M.D.
-
Leona Shum, MD
-
Erin A Egan, MD
-
Dagmar Fredy Hernandez Suarez, MD, MSC
-
Jennifer A McLellan, M.D.
-
Noel C Pense, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141017001015 | CO | Part B Supplier - Clinic/Group Practice | 0345467486 |
Receives reassigned benefits from 71 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sterling, CO; Canon City, CO; Rifle, CO; Pueblo, CO; Leadville, CO; Delta, CO; Cortez, CO; Colorado Springs, CO… |
National Provider Directory
- Tax ID family
- Rural Physicians Group - Pannu PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Hospitalist Physician |
208M00000X | Yes |
Addresses
Primary practice location
615 Fairhurst St
Sterling, CO 80751-4523
Mailing address
5575 DTC Pkwy Ste 225
Greenwood Village, CO 80111-3073
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000150101 | Medicaid | CO |
Other providers in Sterling, CO
- Riverview Medical Group PLLC
- Robert W Patten DDS PC
- Rocky Mountain Clinics LLC
- Maria Jose Rodriguez Alvarez
- Mandi Rogers
- Stephanie Gae Rusher
- Salud Family Health
- Same Day Clinic LLC
- Nancy Lynne Sanders
- Carlo M Scalisi
All providers in Sterling, CO · Hospitalist Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.