Individual provider Active NPI

Jeffrey Perlman, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Odessa, TX
National Provider Identifier
1225063209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
K6228 Issued in TX
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

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
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

IdentifierTypeStateIssuer
080422101MedicaidTX
0074DBOtherTXBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000540 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 5991615494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
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

LicenseStateTypeSpecialty
K6228TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Plano Diabetes and Endocrine Center, P.a. Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2012 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.

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

Verify at the official NPI Registry.