Active NPI
Paul Pukurdpol, M.D., M.P.H.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD-20787
- Practice address
- 451 Clarkson Ave
Brooklyn, NY 11203-2054 - Phone
- (718) 245-3131
- NPI assigned
- May 4, 2015
- Last updated
- Nov 7, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- 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
- 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 100
- Quality
- 86.65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-20787 | HI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current | 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 | Current | Accepting new patients |
| Premier Emergency Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients | |
| Vep Hutchinson Emergency Medical Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado, Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current | Accepting new patients |
| Premier Emergency Services, Inc | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Arvada, CO
- NPI 1053824979
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1457755688
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Emergency Medicine Physician
- Garden City, KS
- NPI 1760018253
-
- Emergency Medicine Physician
- Littleton, CO
- NPI 1760415871
-
- Emergency Medicine Physician
- Hutchinson, KS
- NPI 1669879110
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1962037440
-
- Emergency Medicine Physician
- Breckenridge, CO
- NPI 1003549460
-
- Emergency Medicine Physician
- Golden, CO
- NPI 1821623307
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1124668884
-
- Critical Care Medicine (Internal Medicine) Physician
- Durango, CO
- NPI 1659220663
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1023644515
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Anthony North Hospital
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
dba 84th Avenue Imaging Center
- General Acute Care Hospital
- Westminster, CO
- NPI 1013557545
-
dba 84th Avenue Emergency/Urgent Care
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1093355604
Hospital
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
dba St. Anthony Hospital
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1568002095
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1831739440
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1912547449
-
dba Flight for Life Colorado
- Air Ambulance
- Lakewood, CO
- NPI 1992425854
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.