Piotr Pelc, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A12991 Issued in CA

Practice address

15 Corporate Plaza Dr Ste 100
Newport Beach, CA 92660-7939

Phone

(949) 312-5752

Fax

(949) 202-1131

NPI assigned

May 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 11, 2022 through Jan 11, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: piotrpelc@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychiatry

  NPD

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1912266909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORPORATE PLAZA DR STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607939",
            "telephone_number": "949-312-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE PLAZA DR STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607939",
            "telephone_number": "949-312-5752",
            "fax_number": "949-202-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELC",
        "first_name": "PIOTR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A12991",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A12991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felecia A Pedrogo, MA, AMFT, APCC
• Scott Peebles, M.A., MFCC
• Pegasus Surgery Center LLC
• Kristy Pegg, OT, CHT
• Michelle Pegler, OT
• Paige Pelligra
• Edward Pellis, DDS
• Ronald Howard Peltz, DPM
• Alyson Pena, LPCC #4250
• Daniel Penagos

• Psychiatry Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.