DR. DANIEL P. PELLEGRINI (MD) – Specialist, NPI 1649245176
Specialist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
488 THORACIC SURGERY in CA
Provider Addresses for DR. DANIEL P. PELLEGRINI (MD)
302 4TH ST
SAUSALITO, CA 949652409
Phone: (510) 220-9384
Type: Location
1500 S Main St
Fort Worth, TX 761044917
Phone: (817) 702-1100
Fax: (817) 702-2140
Type: Location
200 W MAGNOLIA AVE STE 201
FORT WORTH, TX 761047657
Phone: (817) 702-2977
Fax: (817) 702-2140
Type: Mailing
275 W MACARTHUR BLVD
OAKLAND, CA 946115641
Phone: (510) 752-1000
Fax: (510) 869-8661
Type: Mailing
MacArthur, MacArthur BART Plaza, Mosswood, Oakland, Alameda County, California, 94609, United States
OAKLAND, CA 946115641
Phone: (510) 752-1000
Fax: (510) 869-8661
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080225000663 | I | Thoracic Surgery | CA | TBD |
| I20260121004260 | I | Cardiac Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94965)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Internal Medicine | CA |
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