Active NPI
Lindsey J. Perry IV, MD
- Anatomic Pathology & Clinical Pathology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 11940158-1205
- Practice address
- 15 N Medical Dr Ste 1100
Salt Lake City, UT 84112-1100 - Phone
- (801) 581-4390
- NPI assigned
- Apr 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 11940158-1205 | UT | Primary |
Addresses
Primary practice location
15 N Medical Dr Ste 1100
Salt Lake City, UT 84112-1100
Mailing address
15 N Medical Dr Ste 1100
Salt Lake City, UT 84112-1100
Phone (801) 581-4390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250613001446 | VA | Practitioner - Pathology | 8820509276 | Reassigns benefits to 1 organization |
| I20250818003650 | NC | Practitioner - Pathology | 8820509276 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Medical Branch at Galveston, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pathology Sciences Medical Group PC
Practice addresses (Care Compare)
1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (252) 384-4763
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 668-3221
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Sentara Leigh Hospital
- Sentara Princess Anne Hospital
- Sentara Obici Hospital
- Sentara Careplex Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11940158-1205 | UT | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Sciences Medical Group, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Norfolk, VA
- NPI 1366499733
Anatomic Pathology & Clinical Pathology, NC, VA
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1306309471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N MEDICAL DR STE 1100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841121100",
"telephone_number": "801-581-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N MEDICAL DR STE 1100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841121100",
"telephone_number": "801-581-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "LINDSEY",
"middle_name": "J.",
"name_suffix": "IV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-07",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "UT",
"license": "11940158-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.