Chrishanthi Perera, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M6825 Issued in TX

Practice address

2423 Williams Dr Ste 105
Georgetown, TX 78628-3200

Phone

(877) 800-5722

Fax

(128) 647-2385

NPI assigned

Jun 18, 2006

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Burnet, TX, CCN 677154
• Capitol Home Health Home health agency, Austin, TX, CCN 747581
• Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chrishanthi.perera.2@8363.direct.athenahealth.com

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.

• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1891746970

  Internal Medicine

  Medicare reassignment NPD
• Lone Star Circle of Care

  dba Lone Star Circle of Care at Collinfield

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1699289728
  NPD
• Lone Star Circle of Care

  dba Lone Star Circle of Care at Northwest Austin

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1780923045
  NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Kyle, TX
  • NPI 1730412388

  Internal Medicine

  NPD
• Lone Star Circle of Care

  dba Lone Star Circle of Care at Pflugerville

  • Federally Qualified Health Center (FQHC)
  • Pflugerville, TX
  • NPI 1144815549
  NPD (past)

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

• Capitol Home Health, Inc.

  • Home Health Agency
  • Austin, TX
  • NPI 1992021323
  Care Compare affiliation
• Cedar Park Health System LLC

  dba Ascension Seton Cedar Park

  • General Acute Care Hospital
  • Cedar Park, TX
  • NPI 1376662296
  Care Compare affiliation
• Seton Highland Lakes Home Health, LLC

  dba Ascension at Home

  • Home Health Agency
  • Burnet, TX
  • NPI 1447272463
  Care Compare affiliation

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1205871845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266814",
            "telephone_number": "512-868-1124",
            "fax_number": "512-868-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283200",
            "telephone_number": "877-800-5722",
            "fax_number": "128-647-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERERA",
        "first_name": "CHRISHANTHI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6825",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M6825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1918385-06",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M6825",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chrishantimarysusan.perera.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2423 Williams Dr Ste 105",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786283200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Xin Peng
• Marla B Pennell, AUD CCC-A
• Jay Burton Pennington, M.D.
• Monique Suzanne Pepin, MSW, LCSW
• Peregrine Ventures, LLC
• Danny Perkins
• Robyn Perry, RDH
• Devin James Pesek, PHARMD
• Leila Mae Peterson
• Lisa Lynn Peterson, M.A., LPC

• Internal Medicine Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.