NPIMap

Individual provider Active NPI

Deandrea Rico Perkins, M.D.

  • Anesthesiology Physician
  • Owensboro, KY
National Provider Identifier
1093857187
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
TP258 Issued in KY
Practice address
815 E Parrish Ave
Suite 460
Owensboro, KY 42303-3222
Phone
(270) 684-5005
Fax
(270) 926-4432
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X TP258 KY Primary

Addresses

Primary practice location

815 E Parrish Ave
Suite 460
Owensboro, KY 42303-3222

Mailing address

815 E Parrish Ave
Suite 460
Owensboro, KY 42303-3222
Phone (270) 684-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000839 KY Practitioner - Anesthesiology 4486770682 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000

850 S 28TH St
Louisville, KY 40211-1223
Phone (502) 629-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Claire Medical Center Inc. Anesthesiology CurrentSince Oct 17, 2023 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Anesthesiology CurrentSince Feb 1, 2018 Accepting new patients
St Claire Medical Center, Inc., Anesthesiology Current Accepting new patients
St Claire Medical Center, Inc CurrentSince Oct 17, 2023 Accepting new patients

Locations

1801 Ashley Cir
Ste 100
Bowling Green, KY 42104

484 Golden Autumn Way
Ste 100
Bowling Green, KY 42103
Phone (270) 793-1000

850 S 28th St
Louisville, KY 40211
Phone (502) 629-7650

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

Organizations & group practices 5

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1093857187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E PARRISH AVE",
            "address_2": "SUITE 460",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033222",
            "telephone_number": "270-684-5005",
            "fax_number": "270-926-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E PARRISH AVE",
            "address_2": "SUITE 460",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033222",
            "telephone_number": "270-684-5005",
            "fax_number": "270-926-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "DEANDREA",
        "middle_name": "RICO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "TP258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.