Pierre Alfred Pelletier, MD

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

01046759 Issued in IN

Practice address

34800 Bob Wilson Drive
Naval Hospital, San Diego
San Diego, CA 92134-5000

Phone

(619) 532-6400

NPI assigned

Jan 30, 2006

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

Other names 1

• Pierre Alfred Pelletier Professional name

Medicare fee-for-service enrollment

Enrolled in CA, NY, FL3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ppelletier195291@direct.renown.org

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.

• Ohri, LLC

  • Diagnostic Radiology Physician
  • Altamonte Springs, FL
  • NPI 1386034346
  Medicare reassignment NPD
• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577
  Medicare reassignment NPD
• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413

  CA

  Medicare reassignment NPD
• Biotech X-Ray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Saint Louis, MO
  • NPI 1437108842
  NPD
• Ohri, LLC

  • Radiology Clinic/Center
  • Clermont, FL
  • NPI 1083570261
  NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD
• Quality Medical Imaging of Arizona, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
  • NPI 1417124637
  NPD
• San Diego Diagnostic Radiology Medical Group, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • San Diego, CA
  • NPI 1861788093
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1699746685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "NAVAL HOSPITAL, SAN DIEGO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DRIVE",
            "address_2": "NAVAL HOSPITAL, SAN DIEGO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921345000",
            "telephone_number": "619-532-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "PIERRE",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "IN",
            "license": "01046759",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A72428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PIERRE",
            "last_name": "PELLETIER",
            "middle_name": "ALFRED",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Terez Pelle, M.D.
• Kristyn Gray Pellecchia, N.P.
• William J. Pellegrini II, LPCC
• Avery Gail Pellegrino
• Jacqueline Elizabeth Pelletier, PNP
• Jessica Pellett
• Donald J. Pellioni, MD
• Julie Anne Pellman, RN
• Alexandra Mari Nazam Pelonia, PSY.D.
• Mitchel D Pelrman, PHD

• Military Health Care Provider in San Diego, CA
• Providers in San Diego, CA by specialty
• Military Health Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.