Individual provider Active NPI

Philip Lee Perkins, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Traverse City, MI
National Provider Identifier
1114941903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
4301051687 Issued in MI
Practice address
1105 6TH St
Traverse City, MI 49684-2345
Phone
(231) 935-0499
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301051687 MI Primary

Addresses

Primary practice location

1105 6TH St
Traverse City, MI 49684-2345

Mailing address

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-0499

Other identifiers 1

IdentifierTypeStateIssuer
3104009MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150120001229 AZ Practitioner - Pathology 5193899052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pima Pathologists PCGroup PAC ID 7719962695, 3 clinicians

Practice addresses (Care Compare)

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301051687MIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology Specialists, PLLC CurrentSince Aug 1, 2015 Accepting new patients
Choi Urology PLLC CurrentSince Aug 1, 2020 Accepting new patients
Carondelet Specialist Group, Inc PastSince Jan 1, 2010 Accepting new patients
Arizona Diagnostic Pathology Associates PLLC Cytopathology PastSince Oct 27, 2024 Accepting new patients

Locations

516 E Whitehouse Canyon Rd
Ste 160
Green Valley, AZ 85614
Phone (520) 391-4320

1521 E Tangerine Rd
Ste 209
Oro Valley, AZ 85755
Phone (520) 545-0573

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

2115 W 16th St
Safford, AZ 85546
Phone (520) 689-7022

2450 E River Rd
Ste 180
Tucson, AZ 85718

3140 N Swan Rd
Tucson, AZ 85712
Phone (520) 245-7562

5670 N Professional Park Dr
Ste 100
Tucson, AZ 85704

2260 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 742-9777

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

6325 E Tanque Verde Rd
Tucson, AZ 85715
Phone (602) 795-5830

395 N Silverbell Rd
Ste 315
Tucson, AZ 85745
Phone (520) 623-8475

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 323-0333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114941903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 6TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 6TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "PHILIP",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301051687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104009",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.