Active NPI
Jeffrey Perlman, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Odessa, TX
National Provider Identifier
1225063209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- K6228
- Practice address
- 318 N Alleghaney Ave
Suite 201
Odessa, TX 79761-5052 - Phone
- (432) 332-1144
- Fax
- (432) 332-9708
- NPI assigned
- Jul 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | K6228 | TX | Primary |
Addresses
Primary practice location
318 N Alleghaney Ave
Suite 201
Odessa, TX 79761-5052
Mailing address
318 N Alleghaney Ave
Suite 201
Odessa, TX 79761-5052
Phone (432) 332-1144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080422101 | Medicaid | TX | |
| 0074DB | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Pittsburgh School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6124 W Parker Rd
Suite 332
Plano, TX 75093-8123
Phone (972) 981-7812
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6228 | TX | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Plano Diabetes and Endocrine Center, P.a. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Ector County Hospital District | Past | Accepting new patients | |
| Ector County Hospital District | Past | Accepting new patients |
Locations
6124 W Parker Rd
Ste 332
Plano, TX 75093
Phone (972) 981-7812
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Plano, TX
- NPI 1285980953
-
- Urgent Care Clinic/Center
- Odessa, TX
- NPI 1366680555
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225063209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 N ALLEGHANEY AVE",
"address_2": "SUITE 201",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615052",
"telephone_number": "432-332-1144",
"fax_number": "432-332-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 N ALLEGHANEY AVE",
"address_2": "SUITE 201",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615052",
"telephone_number": "432-332-1144",
"fax_number": "432-332-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLMAN",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "K6228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080422101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0074DB",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.