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

Paul Jacques Pelletier, MD

Individual provider Emergency Medicine Physician · NPI 1902368947

Paul Jacques Pelletier, MD is an Emergency Medicine in Denver, Colorado. Qualified in 2019, 7 years ago. Practices with South Coast Emergency Medical Group Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
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

777 Bannock St # MC0108
Denver, CO 80204-4507
Phone: (303) 602-5183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DR.0068380 (CO)

Record details

NPI number1902368947
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address777 Bannock St # Mc0108, Denver, CO 80204-4507

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice South Coast Emergency Medical Group Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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