Physician Compare National (NPI:1386746949)

HEALTHCARE PROVIDER: ELINA V PALES DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386746949
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113922279
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090317000223
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PALES
	Individual professional last name
Provider First Name	ELINA
	Individual professional first name
Provider Middle Name	VAYSMAN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTH DENVER PHYSICIANS, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4183852684
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	13111 E BRIARWOOD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 370
	Group Practice or individual's line 2 address
City	CENTENNIAL
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	801123913
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7204414410
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	060113
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LITTLETON ADVENTIST HOSPITAL, CENTURA HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	060132
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	060114
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PARKER ADVENTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y