Paul Jacques Pelletier, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DR.0068380 Issued in CO

Practice address

777 Bannock St # Mc0108
Denver, CO 80204-4507

Phone

(303) 602-5183

NPI assigned

Apr 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, CA2 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 2

Specialty

Emergency Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Coast Emergency Medical Group IncGroup PAC ID 1355254269, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
• Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
• Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Coast Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Barbara, CA
  • NPI 1861432627
  Medicare reassignment Care Compare group NPD
• East Morgan County Hospital

  • Critical Access Hospital
  • Brush, CO
  • NPI 1699708743
  Medicare reassignment NPD
• East Morgan County Hospital

  dba Banner Health Clinic Fort Morgan

  • Rural Health Clinic/Center
  • Fort Morgan, CO
  • NPI 1356051510
  NPD
• Sterling Regional Medcenter

  • General Acute Care Hospital
  • Sterling, CO
  • NPI 1942238555
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Goleta Valley Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1225038136
  Care Compare affiliation
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  Care Compare affiliation
• Santa Ynez Valley Cottage Hospital, Inc

  • General Acute Care Hospital
  • Solvang, CA
  • NPI 1952301863
  Care Compare affiliation

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1902368947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST # MC0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST # MC0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "PAUL",
        "middle_name": "JACQUES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0068380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Pellegrino, MNT
• Bethany Pellerito, RDN
• Julie Pellet, SLP
• Kathryn Pelletier, LMFTA
• Kiera Pelletier, LPC
• Edward Pellissier
• Kristen Pellow, LCSW
• Charles A Peloquin, DIR
• Wendy Pemberton
• Jude Pembleton, PHARMD

• Emergency Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.

Verify at the official NPI Registry.