Active NPI
Douglas K Perkins, MD
- Emergency Medicine Physician
- Phoenix, AZ
National Provider Identifier
1306864384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10636
- Practice address
- 3929 E Bell Rd
Phoenix, AZ 85032-2112 - Phone
- (602) 923-5000
- Fax
- (818) 587-2493
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10636 | AZ | Primary |
Addresses
Primary practice location
3929 E Bell Rd
Phoenix, AZ 85032-2112
Mailing address
PO Box 80072
City of Industry, CA 91716-8072
Phone (818) 340-9988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238677-07 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Arizona Emergency Specialist, PC | Emergency Medicine | Past | Accepting new patients |
| Joshua Tree Emergency Physicians Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| Ingenuity Medical Group LLC | Emergency Medicine | Past | Accepting new patients |
| Paradise Valley Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians Professional Association LTD | Emergency Medicine | Past | Accepting new patients |
| Scottsdale Pathology Consultants, Inc. | Past | Accepting new patients | |
| MHPV Holdings PLC | Emergency Medicine | Past | Accepting new patients |
| Memorial Emergency Physicians Medical Group, Inc | Past | Accepting new patients | |
| Arizona Wound Care & Hyperbaric Medicine Specialist | Emergency Medicine | Past | Accepting new patients |
Locations
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1770886558
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1063446227
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1649290446
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1114931490
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1417986118
-
dba Doctor Housecalls of Paradise Valley
- Emergency Medicine Physician
- Paradise Valley, AZ
- NPI 1760701700
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1841319191
-
- Anatomic Pathology & Clinical Pathology Physician
- Scottsdale, AZ
- NPI 1023086634
-
- Emergency Medicine Physician
- Blythe, CA
- NPI 1649598632
-
- Emergency Medical Services (Emergency Medicine) Physician
- Indio, CA
- NPI 1275821308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306864384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80072",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917168072",
"telephone_number": "818-340-9988",
"fax_number": "818-587-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 E BELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322112",
"telephone_number": "602-923-5000",
"fax_number": "818-587-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "DOUGLAS",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "10636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "238677-07",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.