Individual provider Active NPI

Gaetano Fernando Perego, M.D

  • Obstetrics Physician
  • Clearwater, FL
National Provider Identifier
1003885005
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
155340 Issued in FL
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

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036104061 IL
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060829000377 IL Practitioner - Obstetrics/Gynecology 9931103272 Reassigns benefits to 2 organizations
I20240618000241 FL Practitioner - Obstetrics/Gynecology 9931103272 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
155340FLMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Pinellas Inc CurrentSince Apr 12, 2024 Accepting new patients
Obhg Illinois SC Multi-Specialty CurrentSince May 20, 2021 Accepting new patients
Community Health Center of Pinellas Inc Multi-Specialty Current Accepting new patients
Access Community Health Network CurrentSince Jun 12, 2018 Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Apr 12, 2024 Accepting new patients
Access Community Health Network CurrentSince Jun 12, 2018 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

  • Direct secure messaging: gperego12812@direct.nch.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.