Active NPI
James M Pugely, MD
- Allergy & Immunology Physician
- Eureka, CA
National Provider Identifier
1902985575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G31785
- Practice address
- 2504 Harrison Ave Ste C
Eureka, CA 95501-3221 - Phone
- (707) 269-9549
- Fax
- (707) 269-9562
- NPI assigned
- Nov 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 18959 | WI | |
| Allergy & Immunology Physician | 207K00000X | G31785 | CA | Primary |
Addresses
Primary practice location
2504 Harrison Ave Ste C
Eureka, CA 95501-3221
Mailing address
2504 Harrison Ave Ste C
Eureka, CA 95501-3221
Other practice location 1
6838 N Braeburn Ln
Glendale, WI 53209-2606
Phone (414) 352-3892
Other practice location 2
6838 N Braeburn Ln
Glendale, WI 53209-2606
Phone (414) 352-3892
Other practice location 3
400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30195500 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpugely1658181@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2024 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 828-7100
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G31785 | CA | MD | Allergy & Immunology Physician |
| 18959 | WI | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| St Joseph'S Medical Center | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients |
Locations
720 N Bond St
Springfield, IL 62702
Phone (217) 545-4777
201 E Madison St
Ste 328
Springfield, IL 62702
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Brainerd, MN
- NPI 1568415974
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- Multi-Specialty Clinic/Center
- Staples, MN
- NPI 1538916101
-
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245278209
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia, MN
- NPI 1083617120
-
- General Acute Care Hospital
- Brainerd, MN
- NPI 1568415974
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brainerd, MN
- NPI 1740393032
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1902985575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 HARRISON AVE STE C",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 HARRISON AVE STE C",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013221",
"telephone_number": "707-269-9549",
"fax_number": "707-269-9562"
}
],
"practiceLocations": [
{
"address_1": "6838 N Braeburn Ln",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "WI",
"postal_code": "532092606",
"country_code": "US",
"telephone_number": "414-352-3892",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6838 N Braeburn Ln",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "WI",
"postal_code": "532092606",
"country_code": "US",
"telephone_number": "414-352-3892",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E 3rd St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558051951",
"country_code": "US",
"telephone_number": "218-786-8364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGELY",
"first_name": "JAMES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "WI",
"license": "18959",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "G31785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30195500",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpugely1658181@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2504 Harrison Ave Ste C",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955013221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.