Individual provider Active NPI

Michael Edward Perraut, M.D.

  • Internal Medicine Physician
  • California, MD
National Provider Identifier
1013042209
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0068427 Issued in MD
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

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090324000341 MD Practitioner - Emergency MedicinePractitioner - Internal Medicine 9436244639 Reassigns benefits to 3 organizations
I20180305000399 VA Practitioner - Emergency MedicinePractitioner - Internal Medicine 9436244639 Reassigns benefits to 2 organizations
I20210804002890 DC Practitioner - Emergency Medicine 9436244639 Reassigns benefits to 3 organizations

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
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Centercare Family Practice LLCGroup PAC ID 1254691173, 2 clinicians
Pedsplus Urgent Care LLCGroup PAC ID 1355601949, 2 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068427MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Centercare Family Practice, LLC CurrentSince Feb 1, 2018 Accepting new patients
WHC Emerg Phys CurrentSince Jul 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Internal Medicine CurrentSince Jan 16, 2017 Accepting new patients
Pedsplus Urgent Care, LLC CurrentSince Feb 17, 2018 Accepting new patients
WHC Physician Group LLC CurrentSince Jul 1, 2021 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

  • Direct secure messaging: michael.perrautmd.p2@direct.msmg.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFCGDD/Endpoint/AFCGDD
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.