Individual provider Active NPI

Chanel Jacklyn Perkins, D.P.M.

  • Podiatrist
  • Galveston, TX
National Provider Identifier
1295979391
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2027 Issued in TX
Practice address
301 University Blvd
Orthopedics Dept
Galveston, TX 77555-0165
Phone
(409) 747-5701
Fax
(409) 747-5715
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2027 TX Primary

Addresses

Primary practice location

301 University Blvd
Orthopedics Dept
Galveston, TX 77555-0165

Mailing address

301 University Blvd
Orthopedics Dept
Galveston, TX 77555-0165
Phone (409) 747-5701

Other names 1

  • Chanel Jacklyn Houston Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130103000183 TX Practitioner - Podiatry 8921251737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

2240 Gulf Fwy S
League City, TX 77573-5143

2280 Gulf Fwy S
League City, TX 77573-5143

2660 Gulf Fwy S
League City, TX 77573-6820

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue89
Removal of skin lesions1-10
Removal of nail tissue443
Removal or shaving of skin growth118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2027TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Sep 4, 2014 Accepting new patients
Special Care Podiatry of TX PC Podiatrist CurrentSince Jul 6, 2025 Accepting new patients

Locations

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

3023 Marina Bay Dr
Ste 101
League City, TX 77573
Phone (281) 334-0620

Interoperability endpoints

  • Direct secure messaging: chouston27992@direct.utmb.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1295979391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "ORTHOPEDICS DEPT",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550165",
            "telephone_number": "409-747-5701",
            "fax_number": "409-747-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "ORTHOPEDICS DEPT",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550165",
            "telephone_number": "409-747-5701",
            "fax_number": "409-747-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CHANEL",
        "middle_name": "JACKLYN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANEL",
            "last_name": "HOUSTON",
            "middle_name": "JACKLYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.