Active NPI
Peter Perou, RPA-C
- Physician Assistant
- Estero, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9120012
- Practice address
- 23450 Via Coconut PT
Estero, FL 34135-1877 - Phone
- (239) 343-9696
- Fax
- (239) 343-4054
- NPI assigned
- Jun 9, 2009
- Last updated
- Apr 9, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9120012 | FL | Primary |
| Surgical Physician Assistant | 363AS0400X | 011081 | NY |
Addresses
Primary practice location
23450 Via Coconut PT
Estero, FL 34135-1877
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9696
Other practice location 1
1095 Park Ave
New York, NY 10128-1154
Phone (212) 427-7750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130336700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pperou709117@Direct.leememorial.org | Direct | LEE HEALTH SYSTEM INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 E 64TH St
New York, NY 10065-7471
23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 424-1449
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
515 W 36TH St
FL 6
New York, NY 10018-1245
Phone (212) 434-2279
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9120012 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Ryc Orthopaedics, PC | Current | Accepting new patients | |
| Manhattan Orthopaedics, P.C. | Past | Accepting new patients |
Locations
23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
1056 5th Ave
New York, NY 10028
Phone (212) 348-3636
130 E 77th St
#7
New York, NY 10075
Phone (212) 744-8115
130 E 77th St
Fl 7
New York, NY 10075
Phone (212) 744-8114
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- peter.perou@direct.hobokenumc.md
- pperou70030@northwell.direct-ci.com
- pperou709117@direct.leememorial.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1942567102
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1346280740
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1033345780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-9696",
"fax_number": "239-343-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23450 VIA COCONUT PT",
"city": "ESTERO",
"state": "FL",
"postal_code": "341351877",
"telephone_number": "239-343-9696",
"fax_number": "239-343-4054"
}
],
"practiceLocations": [
{
"address_1": "1095 Park Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101281154",
"country_code": "US",
"telephone_number": "212-427-7750",
"fax_number": "212-427-7759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEROU",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9120012",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "011081",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130336700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pperou709117@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "LEE HEALTH SYSTEM INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Estero, FL
- Carol Patton
- Peaceful Beginnings Midwifery Care, PLLC
- Pediatrix Medical Group of Florida Inc
- Edgardo Perez
- Efthimios T Peristeridis, D.C.
- Gina Petracco-Robbins, PA
- Pharmacygo, Inc
- Physicians' Primary Care of Southwest Florida, P.L.
- Physiotherapy Associates Inc (Select Physical Therapy)
- Palmer Rey Piana, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.