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NPI Code Detail

MEDICARE: MICHAEL PAOLUCCI MD

MEDICARE: MICHAEL PAOLUCCI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianJ2249TX
2207RG0100XGastroenterology PhysicianDR.0066635CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639179500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL PAOLUCCI MD
Provider Business Mailing Address
First Line : 2920 N CASCADE AVE STE 301
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6265
Country : US
Telephone Number : 719-636-1201
Fax Number : 719-636-1326
Provider Business Practice Location Address
First Line : 3330 S RIO GRANDE AVE
Second Line :
City : MONTROSE
State : CO
Zip : 81401-4847
Country : US
Telephone Number : 970-497-5979
Fax Number : 970-497-5983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 06/05/2026

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Directions to “ MICHAEL PAOLUCCI MD” Practice Location

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