Individual provider Active NPI

Paul Pukurdpol, M.D., M.P.H.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1952788465
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-20787 Issued in HI
Practice address
451 Clarkson Ave
Brooklyn, NY 11203-2054
Phone
(718) 245-3131
NPI assigned
May 4, 2015
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-20787 HI Primary

Addresses

Primary practice location

451 Clarkson Ave
Brooklyn, NY 11203-2054

Mailing address

7621 S Kit Carson Dr
Centennial, CO 80122-3048
Phone (720) 231-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20210810000168 CO Practitioner - Emergency Medicine 4082942958 Reassigns benefits to 4 organizations
I20220328002056 KS Practitioner - Emergency Medicine 4082942958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16320 W 64TH Ave
Arvada, CO 80007-7415
Phone (303) 925-4560

3280 S Wadsworth Blvd
Lakewood, CO 80227-5002
Phone (303) 649-3620

7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199

760 Warner Dr
Golden, CO 80401-5297
Phone (303) 925-4360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
86.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-20787HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jul 15, 2021 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jul 15, 2021 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince Sep 23, 2021 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Jul 26, 2021 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine Current Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Sep 23, 2021 Accepting new patients
Vep Hutchinson Emergency Medical Group, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jul 15, 2021 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jul 15, 2021 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Jul 26, 2021 Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

4943 State Highway 52
Ste 100
Erie, CO 80514
Phone (303) 925-4840

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

9949 S Oswego St
Parker, CO 80134
Phone (303) 925-4700

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1952788465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7621 S KIT CARSON DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223048",
            "telephone_number": "720-231-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032054",
            "telephone_number": "718-245-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUKURDPOL",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-20787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.