Kathryn A Peroutka, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD030573-E Issued in PA

Practice address

3912 Trindle Rd
Camp Hill, PA 17011-4246

Phone

(717) 761-8740

Fax

(717) 761-8792

NPI assigned

Aug 24, 2005

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

56.69

Promoting interoperability

100

Improvement activities

40

Cost

74.52

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Milton S Hershey Medical Center Physicians Group

  • Orthopaedic Surgery Physician
  • Hershey, PA
  • NPI 1710951744
  Medicare reassignment NPD
• The Milton S Hershey Medical Center Physician Group

  • Body Imaging Physician
  • Hershey, PA
  • NPI 1346215928
  NPD
• The Milton S Hershey Medical Center Physicians Group

  • Hematology & Oncology Physician
  • Hershey, PA
  • NPI 1427023159
  NPD

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1295728483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114246",
            "telephone_number": "717-761-8740",
            "fax_number": "717-761-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114246",
            "telephone_number": "717-761-8740",
            "fax_number": "717-761-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8024",
            "fax_number": "717-531-0882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEROUTKA",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD030573-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008645850002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009855260006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel Angel Perez
• Sarah Perez, RN
• Perfect Match Boutique LP
• Perk Healthcare, LLC (Perk Chiropractic)
• Krystyna Nicole Perkins, MA
• June Marie Perry, P.T.
• Cecilia B Peters, MA
• David J Peters, D.O.
• Elizabeth R Peters, LCSW
• Heidi Peterson, PHARMD

• Hematology & Oncology Physician in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Hematology & Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.

Verify at the official NPI Registry.