Kara J Perrelli, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C194746 Issued in CA

Practice address

17310 Wright St Ste 103
Omaha, NE 68130-2405

Phone

(833) 228-6889

Fax

(877) 853-0376

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kara J Waters Former name

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA, MA, TX, MN, FL, ME8 enrollments

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 8

Specialty

Diagnostic Radiology

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians

Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians

Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians

Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians

Radiologists of Cape Cod HospitalGroup PAC ID 2961872452, 18 clinicians

Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
• Republic County Hospital Hospital, Belleville, KS, CCN 171361
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Tamarack Health Hayward Medical Center Hospital, Hayward, WI, CCN 521336
• Southwest Medical Center Hospital, Liberal, KS, CCN 170068

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

Networks

• Freedom Health HMO Network
• BSC 65 PLUS INDIVIDUAL MAPD
• Optimum HealthCare HMO Network

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.

• Diagnostic Radiology PC

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1497713291

  DC, ME, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Plains Radiology Services LLC

  • Diagnostic Radiology Physician
  • Grand Island, NE
  • NPI 1164677126

  DC, ME, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment Care Compare group NPD
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  ME, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Florida Radiology Imaging at Lake Mary, LLC

  • Diagnostic Radiology Physician
  • Lake Mary, FL
  • NPI 1740256494

  ME, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Radiologists of Cape Cod Hospital

  • Diagnostic Radiology Physician
  • Hyannis, MA
  • NPI 1073240586

  DC, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• The Duluth Clinic LTD

  • Multi-Specialty Clinic/Center
  • Cloquet, MN
  • NPI 1902563638
  Medicare reassignment Care Compare group NPD
• Grand Island Radiology Associates PC

  • Diagnostic Radiology Physician
  • Grand Island, NE
  • NPI 1932136405

  ME

  Medicare reassignment Care Compare group
• Great Plains Radiology LLC

  • Diagnostic Radiology Physician
  • Kearney, NE
  • NPI 1427089838

  ME, Multi-Specialty

  Medicare reassignment NPD
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Public Health or Welfare Agency
  • Phoenix, AZ
  • NPI 1083643738

  Multi-Specialty, TX

  Medicare reassignment NPD
• Flandreau Santee Sioux Tribe

  • Adult Day Care Clinic/Center
  • Flandreau, SD
  • NPI 1437188729

  Multi-Specialty, TX

  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1073785044

  ME, Multi-Specialty

  Medicare reassignment NPD

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

• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Cape Cod Hospital Inc

  • General Acute Care Hospital
  • Hyannis, MA
  • NPI 1114984671
  Care Compare affiliation
• Great Plains of Republic Co., Inc.

  • Critical Access Hospital
  • Belleville, KS
  • NPI 1396765145
  Care Compare affiliation
• Medical Services, Inc

  • Critical Access Hospital
  • Hayward, WI
  • NPI 1912992827
  Care Compare affiliation
• Southwest Medical Center

  • General Acute Care Hospital
  • Liberal, KS
  • NPI 1538109251
  Care Compare affiliation

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1124196886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17310 WRIGHT ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302405",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 WRIGHT ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302405",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRELLI",
        "first_name": "KARA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "ME",
            "license": "EC-05-169",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C194746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124196886",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "WATERS",
            "middle_name": "J",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Diagnostic Radiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.