Active NPI
Gaetano Fernando Perego, M.D
- Obstetrics Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 155340
- Practice address
- 14100 58TH St N
Clearwater, FL 33760-9900 - Phone
- (727) 824-8181
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036104061 | IL | |
| Obstetrics Physician | 207VX0000X | 155340 | FL | Primary |
Addresses
Primary practice location
14100 58TH St N
Clearwater, FL 33760-9900
Mailing address
14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7550 43Rd St N
Pinellas Park, FL 33781-3601
Phone (727) 824-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155340 | FL | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Pinellas Inc | Current | Accepting new patients | |
| Obhg Illinois SC | Multi-Specialty | Current | Accepting new patients |
| Community Health Center of Pinellas Inc | Multi-Specialty | Current | Accepting new patients |
| Access Community Health Network | Current | Accepting new patients | |
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Multi-Specialty | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Multi-Specialty | Past | Accepting new patients |
| Allara Medical Group PA | Multi-Specialty | Past | Accepting new patients |
Locations
707 Druid Rd E
Clearwater, FL 33756
Phone (727) 441-8963
14100 58th St N
Clearwater, FL 33760
14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224
9064 NW 13th Ter
Doral, FL 33172
Phone (305) 801-6989
12420 130th Ave N
Largo, FL 33774
Phone (727) 587-7729
7550 43rd St N
Pinellas Park, FL 33781
Phone (727) 290-4222
1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701
4950 34th St N
St Petersburg, FL 33714
612 Dr Martin Luther King Jr St N
St Petersburg, FL 33705
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
247 S Huey Ave
Tarpon Springs, FL 34689
Phone (727) 944-3828
5401 S Wentworth Ave
Chicago, IL 60609
Phone (773) 268-5664
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
Interoperability endpoints
- gperego12812@direct.nch.org
- gaetano.perego@335000925634564.direct.elationemr.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1467873315
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- St Petersburg, FL
- NPI 1609384700
-
- Pharmacy
- Clearwater, FL
- NPI 1467273383
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- Federally Qualified Health Center (FQHC)
- Arlington Heights, IL
- NPI 1780879023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1003885005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREGO",
"first_name": "GAETANO",
"middle_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036104061",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "FL",
"license": "155340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.