Edilberto Olarte Pelausa, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101057813 Issued in VA

Practice address

2000 Meade Parkway
Suffolk, VA 23434-4259

Phone

(757) 539-0251

Fax

(757) 934-9421

NPI assigned

Apr 24, 2006

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edilbertopelausa@lmcva.allscriptsdirect.net

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.

• Bayview Medical Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Suffolk, VA
  • NPI 1568466209
  NPD
• Bayview Physician Services, PC

  • Clinical Medical Laboratory
  • Suffolk, VA
  • NPI 1629032339
  NPD
• Chesapeake Ear, Nose & Throat Associates, P.C.

  • Otolaryngology Physician
  • Chesapeake, VA
  • NPI 1982656088
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1649236233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEADE PARKWAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344259",
            "telephone_number": "757-539-0251",
            "fax_number": "757-934-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAUSA",
        "first_name": "EDILBERTO",
        "middle_name": "OLARTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101057813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890519M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6500218",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02857505",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040015729",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peace of Mind Medical Transportation
• Peace of Mind Outreach Services
• Peaceful Alternatives Home Health Care Services LLC
• Peaceful Alternatives Home Health Care Services LLC
• Peaceful Alternatives Home Health Care Services LLC
• Stacey Pena, LCSW
• Peninsula Institute for Community Health Inc
• Peninsula Institute for Community Health Inc
• Peninsula Institute for Community Health Inc
• Toby Pennell

• Otolaryngology Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.