Individual provider Active NPI

James Pettet, DPM

  • Foot & Ankle Surgery Podiatrist
  • Littleton, CO
National Provider Identifier
1902867450
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
450 Issued in CO
Practice address
151 W Mineral Ave Ste 110
Littleton, CO 80120-4510
Phone
(303) 730-2955
Fax
(303) 798-7037
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 450 CO Primary

Addresses

Primary practice location

151 W Mineral Ave Ste 110
Littleton, CO 80120-4510

Mailing address

151 W Mineral Ave Ste 110
Littleton, CO 80120-4510
Phone (303) 730-2955

Other identifiers 2

IdentifierTypeStateIssuer
480012729OtherCORAILROAD MEDICARE GROUP MEMBER PTAN
01004506MedicaidCO

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000399 CO Practitioner - Podiatry 4385542273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 W Mineral Ave
Suite 110
Littleton, CO 80120-4510
Phone (303) 730-2955

Merit-based Incentive Payment System (MIPS)

Final score
10 of 100Reported as individual
Quality
20
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions1-10
Removal of nail tissue120
Removal or shaving of skin growth260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
450COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
James Pettet DPM PC Inc Foot & Ankle Surgery CurrentSince Aug 2, 1989 Accepting new patients

Locations

151 W Mineral Ave
Ste 110
Littleton, CO 80120
Phone (303) 730-2955

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1902867450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W MINERAL AVE STE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204510",
            "telephone_number": "303-730-2955",
            "fax_number": "303-798-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W MINERAL AVE STE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204510",
            "telephone_number": "303-730-2955",
            "fax_number": "303-798-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTET",
        "first_name": "JAMES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP MEMBER PTAN",
            "identifier": "480012729",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004506",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.