JAMES ALFRED PELLEGRINI M.D.
NPI 1457375016
Radiology - Diagnostic Radiology in Neenah, WI
About James Alfred Pellegrini M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES ALFRED PELLEGRINI M.D. (NPI 1457375016) is an individual diagnostic radiology provider in Neenah, Wisconsin, licensed in Wisconsin (49570-20) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James Alfred Pellegrini M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
16Medicare enrollment records show James Pellegrini reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Appleton, WI 54911
- Reassigned Medicare billing, Illinois and Wisconsin enrollments
- Medicare enrollment name: Radiology Associates Of Appleton Sc
- Also billed through NPI 1407941909 (Wisconsin)
- 14 clinicians in this Medicare group
Mequon, WI 53092
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Premier Radiology Wisconsin LLC
- 237 clinicians in this Medicare group
Tomah, WI 54660
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1184765240 (Wisconsin)
- 249 clinicians in this Medicare group
Chicago, IL 60631
- Reassigned Medicare billing, Wisconsin enrollment
- 4 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Illinois, Michigan and Wisconsin enrollments
- 9 clinicians in this Medicare group
Marquette, MI 49855
- Reassigned Medicare billing, Wisconsin enrollment
- 17 clinicians in this Medicare group
Olympia Fields, IL 60461
- Reassigned Medicare billing, Wisconsin enrollment
- 16 clinicians in this Medicare group
Durand, MI 48429
- Reassigned Medicare billing, Michigan enrollment
- 467 clinicians in this Medicare group
Indianapolis, IN 46260
- Reassigned Medicare billing, Wisconsin enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 57
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Union Hospital Inc
Acute Care Hospitals · Terre Haute, INHurley Medical Center
Acute Care Hospitals · Flint, MIAscension Columbia St Mary's Hospital Milwaukee
Acute Care Hospitals · Milwaukee, WIAscension All Saints Hospital
Acute Care Hospitals · Racine, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54956 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Pellegrini's NPI number?
The NPI number for James Pellegrini is 1457375016. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is James Pellegrini located?
James Pellegrini practices at 527 E Wisconsin Ave, Neenah, WI 54956. The listed phone number is (920) 574-6322.
What is James Pellegrini's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is James Pellegrini enrolled in Medicare?
Yes. James Pellegrini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for James Pellegrini's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Pellegrini reassigns Medicare benefits to 16 organizations: Thedacare, Incorporated (Menasha, WI), Radiology Associates Of Appleton, S.C. (Appleton, WI), Wisconsin Radiology Specialists, S C (Mequon, WI), Tomah Memorial Hospital Inc (Tomah, WI), Illinois Diagnostic And Interventional Radiology PLLC (Chicago, IL) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Pellegrini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Pellegrini accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, CareSource (Common Ground Healthcare), Cigna HealthCare of Arizona, Inc and Cigna Healthcare and 2 other insurers list James Pellegrini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is James Pellegrini affiliated with any hospitals?
According to CMS data, James Pellegrini is affiliated with Union Hospital Inc, Hurley Medical Center, Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.
When was this NPI record last updated?
The NPPES record for James Pellegrini was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.