Robert Permut, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35036305 Issued in OH

Practice address

715 Stonebridge Rd
Frankfort, IL 60423-1094

Phone

(815) 277-2429

NPI assigned

May 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Provena Service Corporation

  • Family Medicine Physician
  • Danville, IL
  • NPI 1134314602
  NPD (past)

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1285070201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 STONEBRIDGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231094",
            "telephone_number": "815-277-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 STONEBRIDGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231094",
            "telephone_number": "815-277-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERMUT",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35036305",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036093830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailan Nicole Kathryn Paul, OTR/L
• Deidre Ann Pentek
• Michael P Perejda, RPH
• Clara T Perez, MD
• Stephanie Perez
• Michael Perry, D.D.S.
• Joana Marie Persiani, ATS
• Personal Solutions Counseling
• Personal Solutions Counseling, PC
• Virginia Pesa, LCPC

• Psychiatry Physician in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.