Organization Active NPI

West Plano Diabetes and Endocrine Center, P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Plano, TX
National Provider Identifier
1285980953
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
K6228 Issued in TX
Legal business name
WEST PLANO DIABETES AND ENDOCRINE CENTER, P.A.
Practice address
6124 W Parker Rd
Suite 332
Plano, TX 75093-8122
Phone
(972) 981-7812
Fax
(972) 981-7836
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Jeffrey H Perlman, M.D.NPI 1225063209
Title
President
Phone
(972) 639-8799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X K6228 TX Primary

Addresses

Primary practice location

6124 W Parker Rd
Suite 332
Plano, TX 75093-8122

Mailing address

6124 W Parker Rd
Suite 332
Plano, TX 75093-8122
Phone (972) 981-7812

Other identifiers 1

IdentifierTypeStateIssuer
080422101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120911000700 TX Part B Supplier - Clinic/Group Practice 3476701780 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2047307West Plano Diabetes and Endocrine Center, PA6124 W Parker Road, Medical BLDG 3, Suite 332, Plano, TX 75093Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

Locations

6124 W Parker Rd
Ste 332
Plano, TX 75093
Phone (972) 981-7812

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1285980953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "SUITE 332",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "972-981-7812",
            "fax_number": "972-981-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "SUITE 332",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "972-981-7812",
            "fax_number": "972-981-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PLANO DIABETES AND ENDOCRINE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "PERLMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-639-8799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "K6228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080422101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.