Active NPI
Peter Warren Aldoretta, M.D.
- Neonatal-Perinatal Medicine Physician
- Grand Junction, CO
National Provider Identifier
1790784775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 30059
- Practice address
- 2635 N 7TH St
Grand Junction, CO 81501-8209 - Phone
- (970) 298-2200
- Fax
- (970) 298-2222
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 10319R | LA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 30059 | CO | Primary |
Addresses
Primary practice location
2635 N 7TH St
Grand Junction, CO 81501-8209
Mailing address
2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 298-2279
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02159848 | Medicaid | CO | |
| 1790784775 | Medicaid | UT | |
| 1988481 | Medicaid | LA |
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 |
|---|---|---|---|
| 10319R | LA | MD | Specialist |
| 30059 | CO | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1790784775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018209",
"telephone_number": "970-298-2279",
"fax_number": "970-298-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018209",
"telephone_number": "970-298-2200",
"fax_number": "970-298-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDORETTA",
"first_name": "PETER",
"middle_name": "WARREN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "10319R",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CO",
"license": "30059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02159848",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790784775",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1988481",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.