Ole Anthony Peloso, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

6965 Issued in NM

Practice address

801 Encino PL NE
Ste C12
Albuquerque, NM 87102-2612

Phone

(505) 247-4849

Fax

(505) 247-4850

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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 and National Provider Directory roles.

• Center for Vein Restoration NM LLC

  • Cardiovascular Disease Physician
  • Rio Rancho, NM
  • NPI 1891342994

  Surgery

  NPD

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467448688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SIGMA CHI RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064550",
            "telephone_number": "505-242-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE",
            "address_2": "STE C12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022612",
            "telephone_number": "505-247-4849",
            "fax_number": "505-247-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOSO",
        "first_name": "OLE",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "6965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "23312",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM012133",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21337",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dania A. Pellerano, DDS
• Miguel Pellerano, MD
• Freddy A Pellman Jr.
• Jordan Pelock, PA-C
• Paul Peloquin
• Jeanell Catherine Pelsor, MOTR/L
• Ashley N. Peltier, M.S., CCC-SLP
• Alessandra Peluso
• Beverly R Pelzl, RNFA
• Angelica Pena Fernandez, LPCC

• All providers in Albuquerque, NM
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.