Active NPI
Peter C Pelikan, M.D.
- Interventional Cardiology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- G43904
- Practice address
- 2001 Santa Monica Blvd Ste 280W
Santa Monica, CA 90404-2172 - Phone
- (310) 829-7678
- Fax
- (310) 829-6889
- NPI assigned
- Jun 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G43904 | CA | |
| Interventional Cardiology Physician | 207RI0011X | G43904 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd Ste 280W
Santa Monica, CA 90404-2172
Mailing address
2001 Santa Monica Blvd
Suite 280W
Santa Monica, CA 90404-2102
Phone (310) 829-7678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Harvard Medical School, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2001 Santa Monica Blvd
Suite 560W
Santa Monica, CA 90404-2182
Phone (310) 582-7900
Hospital & facility affiliations
- Saint John'S Health Center
- Cedars-Sinai Medical Center
- Pih Health Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 96.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G43904 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint Johns Medical Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640
2001 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 829-3401
2001 Santa Monica Blvd
Ste 280W
Santa Monica, CA 90404
Phone (310) 829-7678
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
2001 Santa Monica Blvd
Ste 560W
Santa Monica, CA 90404
Phone (310) 453-5654
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2001 Santa Monica Blvd
Ste 360W
Santa Monica, CA 90404
Phone (310) 453-1871
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ppelikan514185@direct.cshs.org
- ppelikan473236@oc.providencedirect.org
Organizations & group practices 5
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1710984331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "SUITE 280W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-829-7678",
"fax_number": "310-829-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 280W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042172",
"telephone_number": "310-829-7678",
"fax_number": "310-829-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELIKAN",
"first_name": "PETER",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-29",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G43904",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "G43904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.