Individual provider Active NPI

Ivan Perry, DO

  • Pain Medicine (Anesthesiology) Physician
  • Allentown, PA
National Provider Identifier
1285798017
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS014295 Issued in PA
Practice address
4905 W Tilghman St
Suite 250
Allentown, PA 18104-9130
Phone
(484) 866-9583
Fax
(610) 366-1147
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS014295 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X OS014295 PA Primary

Addresses

Primary practice location

4905 W Tilghman St
Suite 250
Allentown, PA 18104-9130

Mailing address

4905 W Tilghman St
Suite 250
Allentown, PA 18104-9130
Phone (484) 866-9583

Other identifiers 8

IdentifierTypeStateIssuer
118234OtherPAGEISINGER
2022450OtherPAHIGHMARK
823075OtherPA1ST HEALTH PRIORITY
000000242649OtherPAUNISON
35102264000OtherPAIND. BLUE CROSS
50077668OtherPACAPITAL ADVANTAGE
1021267570001MedicaidPA
0162935MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080409000520 PA Practitioner - Anesthesiology 8729165105 Reassigns benefits to 3 organizations
I20240111002165 FL Practitioner - Anesthesiology 8729165105 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
Apollo Medical Group of Central Florida PLLCGroup PAC ID 1153898556, 41 clinicians

Practice addresses (Care Compare)

17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone (352) 796-5111

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

Hospital & facility affiliations

  • Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS014295PAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Current Accepting new patients
Tower Health Medical Group CurrentSince Oct 30, 2017 Accepting new patients
Lehigh Valley Anesthesia Services, P. C. Anesthesiology CurrentSince Oct 21, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 26, 2023 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Ams National LLC Anesthesiology CurrentSince Jan 10, 2024 Accepting new patients
MD Cardiac Anesthesia and Critical Care PLLC Anesthesiology CurrentSince Mar 22, 2026 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 26, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Oct 30, 2017 Accepting new patients
Hazleton Anesthesia Services, P.C. Anesthesiology CurrentSince Feb 25, 2017 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

400 N 17th St
Allentown, PA 18104
Phone (610) 402-9099

1245 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 402-9080

4905 W Tilghman St
Ste 250
Allentown, PA 18104
Phone (484) 866-9581

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: iperry349078@direct-sluhn.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1285798017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 W TILGHMAN ST",
            "address_2": "SUITE 250",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049130",
            "telephone_number": "484-866-9583",
            "fax_number": "610-366-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 W TILGHMAN ST",
            "address_2": "SUITE 250",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049130",
            "telephone_number": "484-866-9583",
            "fax_number": "610-366-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "IVAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS014295",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "OS014295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "118234",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2022450",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST HEALTH PRIORITY",
            "identifier": "823075",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000242649",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. BLUE CROSS",
            "identifier": "35102264000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL ADVANTAGE",
            "identifier": "50077668",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021267570001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162935",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.