Theisha Y Perkins, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036106661 Issued in IL

Practice address

364 Torrence Ave
Calumet City, IL 60409

Phone

(708) 868-9457

Fax

(708) 868-6910

NPI assigned

Aug 28, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theisha.perkins.1@18277.direct.athenahealth.com

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.

• Chicago Family Health Center, Inc.

  dba Chicago Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1245266337
  Medicare reassignment NPD
• Chicago Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1528390507
  NPD
• Chicago Family Health Center, Inc.

  dba Chicago Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1770785644
  NPD
• Carl B Toren MD

  dba Chicago Family Health Center

  • Non-Pharmacy Dispensing Site
  • Chicago, IL
  • NPI 1013957760
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1356459549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 S EXCHANGE AVE",
            "address_2": "9718 S. HALSTED",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225",
            "telephone_number": "773-768-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 TORRENCE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-868-9457",
            "fax_number": "708-868-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "THEISHA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036106661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106661",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Paxton
• Stephanie Pazmino, LPC
• Peachykingtransportation
• Vernetta Roche Peoples, OTR/L
• Mohammed O Peracha, MD
• PG Health Services Inc
• Keona Philemy
• Pierson Medical Group Inc
• Pinakinprasad Dave, MD, SC
• Pioneer Concepts Inc (Calumet City Terrace)

• Pediatrics Physician in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.

Verify at the official NPI Registry.