Peter Protell, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A120517 Issued in CA

Practice address

2170 South Ave
South Lake Tahoe, CA 96150-7026

Phone

(530) 541-3420

NPI assigned

Jul 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 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

Merit-based Incentive Payment System (MIPS)

Final score

96.42 of 100Reported as group

Quality

93.48

Promoting interoperability

100

Improvement activities

40

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.

• Barton Healthcare System

  • Internal Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1235196015

  Emergency Medicine

  Medicare reassignment NPD
• Tahoe Emergency Physicians Medical Corporation

  • Emergency Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1104937408
  Medicare reassignment NPD
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  • Critical Access Hospital
  • Gardnerville, NV
  • NPI 1396799102
  Medicare reassignment NPD
• Barton Healthcare System

  • Emergency Medicine Physician
  • Twin Bridges, CA
  • NPI 1114033529
  NPD
• Barton Healthcare System

  • Diagnostic Radiology Physician
  • Stateline, NV
  • NPI 1467046102
  NPD
• Barton Healthcare System

  • Rural Health Clinic/Center
  • South Lake Tahoe, CA
  • NPI 1053310326
  NPD (past)

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679763353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-541-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501-A Kirkwood Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "CA",
            "postal_code": "95646",
            "country_code": "US",
            "telephone_number": "209-258-7236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 US Highway 395 N",
            "address_purpose": "LOCATION",
            "city": "Gardnerville",
            "state": "NV",
            "postal_code": "894105304",
            "country_code": "US",
            "telephone_number": "775-782-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3860 Saddle Rd",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961508673",
            "country_code": "US",
            "telephone_number": "530-543-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROTELL",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "14203",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A120517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Pieters
• Miguel Porcayo
• Zachary Akio Powers, RPH
• James Jonathan Pratt, MS, ATC, OTC
• Christopher S Proctor, PT
• PT Revolution Physical Therapy, PC
• Chloe H Puglisi
• Marcelina Nate Pulido
• Joanna Malgorzata Puszka, PHARM D
• Nicholas Quazzo

• Emergency Medicine Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.