Individual provider Active NPI

Frank Allen Perlroth, M.D.

  • Internal Medicine Physician
  • Palo Alto, CA
National Provider Identifier
1083764948
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G21571 Issued in CA
Practice address
805 El Camino Real
Suite B
Palo Alto, CA 94301-2315
Phone
(650) 329-0440
Fax
(650) 321-3589
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G21571 CA Primary

Addresses

Primary practice location

805 El Camino Real
Suite B
Palo Alto, CA 94301-2315

Mailing address

805 El Camino Real
Suite B
Palo Alto, CA 94301-2315
Phone (650) 329-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21571CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Past Accepting new patients
Imgpa, Inc. Internal Medicine PastSince Apr 30, 2009 Accepting new patients

Organizations & group practices 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1083764948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012315",
            "telephone_number": "650-329-0440",
            "fax_number": "650-321-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012315",
            "telephone_number": "650-329-0440",
            "fax_number": "650-321-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLROTH",
        "first_name": "FRANK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G21571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.