Active NPI
Michael Edward Perraut, M.D.
- Internal Medicine Physician
- California, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0068427
- Practice address
- 22590 Shady CT
California, MD 20619-5009 - Phone
- (301) 737-0500
- Fax
- (301) 737-3351
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0068427 | MD | |
| Internal Medicine Physician | 207R00000X | D0068427 | MD | Primary |
Addresses
Primary practice location
22590 Shady CT
California, MD 20619-5009
Mailing address
24035 Three Notch Road
Hollywood, MD 20636
Phone (301) 373-7900
Other practice location 1
25500 Point Lookout Road
Leonardtown, MD 20650
Phone (301) 475-6488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Maryland School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440
15521 Real Estate Ave
King George, VA 22485-5327
Phone (540) 289-2273
22590 Shady CT
California, MD 20619-5009
Phone (301) 373-7900
24035 Three Notch Rd
Hollywood, MD 20636-4871
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088
29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300
7300 Hanover Dr
Suite 202
Greenbelt, MD 20770-2247
Phone (301) 373-7900
950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270
Hospital & facility affiliations
- Medstar Health Home Care
- Homecall
- Chesapeake - Potomac Home Health Agency, Inc.
- Medstar Saint Mary's Hospital
- Mary Washington Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 38 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0068427 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Centercare Family Practice, LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Internal Medicine | Current | Accepting new patients |
| Pedsplus Urgent Care, LLC | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
22590 Shady Ct
California, MD 20619
Phone (301) 737-0500
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
1300 Emancipation Hwy
Fredericksburg, VA 22401
Phone (540) 289-2273
15521 Real Estate Ave
King George, VA 22485
Phone (540) 289-2273
15521 Real Estate Ave
Fl 1
King George, VA 22485
4207 Germanna Hwy
Ste E
Locust Grove, VA 22508
Phone (540) 726-5659
Interoperability endpoints
- michael.perrautmd.p2@direct.msmg.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/AFCGDD/Endpoint/AFCGDD
- michael.perraut.1@25398.direct.athenahealth.com
Organizations & group practices 10
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.
-
dba MedStar Shah Medical Group, LLC
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC
-
dba Pedsplus Primary Care
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1497106504
-
dba Centercare Urgent Care
- Urgent Care Clinic/Center
- Fredericksburg, VA
- NPI 1275087553
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Women's Health Center of Waldorf
- Obstetrics & Gynecology Physician
- White Plains, MD
- NPI 1366644197
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hughesville, MD
- NPI 1184627234
-
dba MedStar Health Home Care
- Home Health Agency
- Greenbelt, MD
- NPI 1154437879
-
dba MedStar St. Mary's Hospital
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1013042209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH ROAD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "20636",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22590 SHADY CT",
"city": "CALIFORNIA",
"state": "MD",
"postal_code": "206195009",
"telephone_number": "301-737-0500",
"fax_number": "301-737-3351"
}
],
"practiceLocations": [
{
"address_1": "25500 Point Lookout Road",
"address_purpose": "LOCATION",
"city": "Leonardtown",
"state": "MD",
"postal_code": "20650",
"country_code": "US",
"telephone_number": "301-475-6488",
"fax_number": "240-434-7103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRAUT",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0068427",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0068427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in California, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.