NPIMap

Individual provider Active NPI

Stephanie L Perry, M.D.

  • Internal Medicine Physician
  • Sewickley, PA
National Provider Identifier
1104842434
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD062061L Issued in PA
Practice address
100 Hazel LN
Sewickley, PA 15143-1249
Phone
(412) 749-6821
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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 MD062061L PA Primary

Addresses

Primary practice location

100 Hazel LN
Sewickley, PA 15143-1249

Mailing address

100 Hazel LN
Sewickley, PA 15143-1249
Phone (412) 749-6821

Other identifiers 1

IdentifierTypeStateIssuer
0016480840005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100422000168 PA Practitioner - Internal Medicine 4486781515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Hazel LN
Sewickley, PA 15143-1249

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine Current Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince Sep 14, 2011 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine PastSince Aug 9, 2020 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

1155 Merchant St
Ambridge, PA 15003
Phone (724) 266-0707

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

100 Hazel Ln
Sewickley, PA 15143
Phone (412) 749-6806

100 Hazel Ln
Ste 100
Sewickley, PA 15143
Phone (412) 749-4240

Interoperability endpoints

  • Direct secure messaging: stephanieperry@hvhs.allscriptsdirect.net

Organizations & group practices 4

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 12

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1104842434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAZEL LN",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431249",
            "telephone_number": "412-749-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAZEL LN",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431249",
            "telephone_number": "412-749-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD062061L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016480840005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.