Individual provider Active NPI

Gina M Perri, M.D.

  • Family Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1003803701
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28724 Issued in IA
Practice address
275 10TH St SE
Cedar Rapids, IA 52403-2450
Phone
(319) 364-7730
NPI assigned
Sep 29, 2005
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28724 IA Primary

Addresses

Primary practice location

275 10TH St SE
Cedar Rapids, IA 52403-2450

Mailing address

PO Box 1824
Cedar Rapids, IA 52406-1824
Phone (319) 369-4505

Other identifiers 1

IdentifierTypeStateIssuer
3073171MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gina.perri@pciowa.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000202 IA Practitioner - Family Practice 1052339140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Regional Medical CenterGroup PAC ID 9234041013, 48 clinicians

Practice addresses (Care Compare)

1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-7091

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28724IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Greater Regional Medical Center Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Greater Regional Medical Center CurrentSince Aug 15, 2022 Accepting new patients
Practice of Family Medicine, P.C. Family Medicine Past Accepting new patients
Greater Regional Medical Center Family Medicine Past Accepting new patients
Mercy Physician Associates, Inc Family Medicine Past Accepting new patients

Locations

1610 W Townline St
Creston, IA 50801
Phone (641) 782-2131

1610 W Townline St
Ste 140
Creston, IA 50801
Phone (641) 782-3887

1700 W Townline St
Creston, IA 50801
Phone (641) 782-7091

288 Public Sq
Greenfield, IA 50849
Phone (641) 743-6529

100 S Main St
Lenox, IA 50851
Phone (641) 333-4544

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

120 S Taylor St
Mount Ayr, IA 50854
Phone (641) 464-8971

Interoperability endpoints

  • Direct secure messaging: gperri896453@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mount Ayr Community Health ClinicMount Ayr, IA, CCN 168638 Rural health clinic W-2 Managing Employee
Operational/Managerial Control
Oct 1, 2022
Oct 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1003803701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1824",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524061824",
            "telephone_number": "319-369-4505",
            "fax_number": "319-369-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032450",
            "telephone_number": "319-364-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRI",
        "first_name": "GINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "28724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073171",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gina.perri@pciowa.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "275 10th St SE",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524032450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.