Active NPI
Orrin W Perkins, MD
- Diagnostic Radiology Physician
- Indianapolis, IN
National Provider Identifier
1124013263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1041542
- Practice address
- 7340 Shadeland Station
Suite 200
Indianapolis, IN 46256-3980 - Phone
- (317) 579-2150
- Fax
- (317) 579-2130
- NPI assigned
- Sep 14, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1041542 | IN | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 01041542A | IN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 01041542A | IN |
Addresses
Primary practice location
7340 Shadeland Station
Suite 200
Indianapolis, IN 46256-3980
Mailing address
7340 Shadeland Station
Suite 200
Indianapolis, IN 46256-3980
Phone (317) 579-2150
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000109957 | Other | IN | ANTHEM |
| P00023637 | Other | IN | RR MEDICARE PINS |
| P00024408 | Other | IN | RR MEDICARE PINS |
| 300059734 | Other | IN | RAILROAD MEDICARE |
| P00024034 | Other | IN | RR MEDICARE PINS |
| P00023636 | Other | IN | RR MEDICARE PINS |
| P00024076 | Other | IN | RR MEDICARE PINS |
| P00024084 | Other | IN | RR MEDICARE PINS |
| P00024409 | Other | IN | RR MEDICARE PINS |
| 100320730A | Medicaid | IN | |
| P00024095 | Other | IN | RR MEDICARE PINS |
| P00024403 | Other | IN | RR MEDICARE PINS |
| P00024404 | Other | IN | RR MEDICARE PINS |
| P00024389 | Other | IN | RR MEDICARE PINS |
| P00014389 | Other | IN | RR MEDICARE PINS |
| P00024046 | Other | IN | RR MEDICARE PINS |
| P00034084 | Other | IN | RR MEDICARE PINS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041542 | IN | MD | Diagnostic Radiology Physician |
| 01041542A | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| American Health Network of Indiana, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
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Diagnostic Radiology
-
- General Acute Care Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1124013263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 SHADELAND STATION",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563980",
"telephone_number": "317-579-2150",
"fax_number": "317-579-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7340 SHADELAND STATION",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563980",
"telephone_number": "317-579-2150",
"fax_number": "317-579-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "ORRIN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "1041542",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01041542A",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01041542A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000109957",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00023637",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024408",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300059734",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024034",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00023636",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024076",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024084",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024409",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100320730A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024095",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024403",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024404",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024389",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00014389",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00024046",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PINS",
"identifier": "P00034084",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.