DR. DANIEL P. PELLEGRINI MD
NPI 1649245176
Specialist in Sausalito, CA

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
302 4TH ST, SAUSALITO, CA 94965(510) 220-9384 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel P. Pellegrini Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL P. PELLEGRINI MD (NPI 1649245176) is an individual specialist in Sausalito, California, licensed in California (G88091) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1990).

NPPES Registry Identity

NPI1649245176
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DANIEL P. PELLEGRINICredential: MD
Location Address302 4TH STSausalito, CA 94965-2409
Mailing Address200 W Magnolia Ave Ste 201Fort Worth, TX 76104-7657 · (817) 702-2977 · Fax (817) 702-2140
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1990
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1649245176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in CA · G88091 Licensed in PA · MD062510L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 84758 (CT), W1873 (TX)
302 4TH ST, Sausalito, CA 94965

Secondary Practice Locations 2

Location 1263 Farmington AveFarmington, CT 06030-8063 · Phone (860) 679-8080 · Fax (860) 679-1430
Location 21500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-1100 · Fax (817) 702-2140

Other Identifiers 1

Medicaid001659480PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel P. Pellegrini Md 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.

PECOS PAC ID2668556911
PECOS Enrollment IDI20080225000663
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Daniel Pellegrini's NPI number?

The NPI number for Daniel Pellegrini is 1649245176. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Daniel Pellegrini located?

Daniel Pellegrini practices at 302 4th St, Sausalito, CA 94965. The listed phone number is (510) 220-9384.

What is Daniel Pellegrini's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Daniel Pellegrini enrolled in Medicare?

Yes. Daniel 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.

When was this NPI record last updated?

The NPPES record for Daniel Pellegrini was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.