Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Philip B Dattilo III, MD

Individual provider Interventional Cardiology Physician · NPI 1245452994

Dr. Philip B Dattilo III, MD is an Interventional Cardiology in Fort Collins, Colorado. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2001, 25 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Nebraska and Wyoming.

Years since qualifying
25
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
CO, NE, WY
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2121 E Harmony Rd Ste 100
Fort Collins, CO 80528-3400
Phone: (970) 221-1000
Fax: (970) 297-6844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence DR.0047426 (CO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 47426 (CO)
Internal Medicine Physician Taxonomy 207R00000X · Licence DR.0047426 (CO)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 28429 (NE)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 10035A (WY)

Record details

NPI number1245452994
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESDecember 1, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2001 (25 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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