Diane H Pelto, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

DR.0035998 Issued in CO

Practice address

4 Oak Ave
Colorado Springs, CO 80906-3260

Phone

(719) 434-7019

Fax

(719) 487-0005

NPI assigned

Aug 31, 2005

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Pikes Peak Anesthesia Associates P.C.

  • Anesthesiology Physician
  • Colorado Springs, CO
  • NPI 1710091186
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1568456960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063260",
            "telephone_number": "719-434-7019",
            "fax_number": "719-487-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063260",
            "telephone_number": "719-434-7019",
            "fax_number": "719-487-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTO",
        "first_name": "DIANE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0035998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "050050074",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01359983",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Pellizzari, LCSW
• John B. Pelner, M.D.
• Mishea Leanne Peltier, D.C.
• Shanon Marie Peltier, APRN
• Carey Thomas Pelto, M.D.
• Ronald W Pelton, M.D., PH.D.
• Valentina Pena Hernandez
• Emilio Gabriel Pena
• Isabel Maria Pena
• Lynda Pena

• Anesthesiology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.