Active NPI
Peter M Eller, M.D.
- Internal Medicine Physician
- Golden, CO
National Provider Identifier
1750343299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DR.0059376
- Practice address
- 5920 McIntyre St
Golden, CO 80403-7445 - Phone
- (720) 434-4876
- Fax
- (303) 225-4246
- NPI assigned
- Apr 3, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0059376 | CO | Primary |
| Internal Medicine Physician | 207R00000X | MD6148 | RI |
Addresses
Primary practice location
5920 McIntyre St
Golden, CO 80403-7445
Mailing address
5920 McIntyre St
Golden, CO 80403-7445
Phone (720) 434-4876
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2588 | Other | RI | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
| 406221 | Other | TUFTS | |
| 7002228 | Medicaid | RI | |
| 04-00335 | Other | UNITEDHEALTHCARE | |
| 200318 | Other | RI | BLUE CHIP OF RHODE ISLAND |
| 29736-9 | Other | RI | BLUE SHIELD OF RHODE ISLAND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6148 | RI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1750343299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 MCINTYRE ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804037445",
"telephone_number": "720-434-4876",
"fax_number": "303-225-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 MCINTYRE ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804037445",
"telephone_number": "720-434-4876",
"fax_number": "303-225-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLER",
"first_name": "PETER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0059376",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD6148",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND",
"identifier": "2588",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "406221",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7002228",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "04-00335",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP OF RHODE ISLAND",
"identifier": "200318",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF RHODE ISLAND",
"identifier": "29736-9",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.