Individual provider Active NPI

Joseph Patrick Pineau, M.D.

  • Internal Medicine Physician
  • Fort Carson, CO
National Provider Identifier
1841351194
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38604 Issued in CO
Practice address
Internal Medicine Clinic
1650 Cochrane Cir
Fort Carson, CO 80906
Phone
(719) 526-7160
Fax
(719) 526-7676
NPI assigned
Dec 12, 2006
Last updated
Apr 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38604 CO Primary

Addresses

Primary practice location

Internal Medicine Clinic
1650 Cochrane Cir
Fort Carson, CO 80906

Mailing address

547 Concerto Dr
Colorado Springs, CO 80906-5966
Phone (719) 576-0915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001109 CO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8022332055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38604COMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1841351194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 CONCERTO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065966",
            "telephone_number": "719-576-0915",
            "fax_number": "719-576-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INTERNAL MEDICINE CLINIC",
            "address_2": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-526-7160",
            "fax_number": "719-526-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEAU",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "38604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.