NPIMap

Individual provider Active NPI

Ryan S Perkins, M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1366447682
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME68586 Issued in FL
Practice address
10881 San Jose Blvd
Jacksonville, FL 32223-6612
Phone
(904) 880-5522
Fax
(904) 880-5533
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME68586 FL Primary

Addresses

Primary practice location

10881 San Jose Blvd
Jacksonville, FL 32223-6612

Mailing address

10881 San Jose Blvd
Jacksonville, FL 32223-6612
Phone (904) 880-5522

Other identifiers 9

IdentifierTypeStateIssuer
08691OtherFLHEALTHEASE
28750OtherFLWELLCARE
378240900MedicaidFL
7299313OtherFLG H I
00741474AMedicaidGA
213239OtherFLAVMED
3602304OtherFLUNITED HEALTHCARE
726514800OtherFLCIGNA
920001650OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000385 FL Practitioner - Radiation Oncology 9739212960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Utah School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ackerman Cancer Center PAGroup PAC ID 3779541362, 10 clinicians

Practice addresses (Care Compare)

10881 San Jose Blvd
Jacksonville, FL 32223-6612
Phone (904) 260-3022

Hospital & facility affiliations

  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040

Merit-based Incentive Payment System (MIPS)

Final score
99.96 of 100Reported as group
Improvement activities
40
Cost
99.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ackerman Cancer Center, PA Radiation Oncology CurrentSince Jul 5, 1995 Accepting new patients
Ackerman Cancer Center, P.a. Radiation Oncology CurrentSince Jul 5, 1995 Accepting new patients
Ackerman Cancer Center, PA Radiation Oncology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Integrated Community Oncology Network LLC Radiation Oncology Past Accepting new patients
Ackerman Cancer Center, P.a. Radiation Oncology Past Accepting new patients

Locations

1340 S 18th St
Ste 103
Fernandina Beach, FL 32034
Phone (904) 277-2700

10881 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 260-3022

2 Shircliff Way
Ste 510
Jacksonville, FL 32204
Phone (904) 204-5000

2 Shircliff Way
Jacksonville, FL 32204
Phone (904) 308-7411

Organizations & group practices 6

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 4

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1366447682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236612",
            "telephone_number": "904-880-5522",
            "fax_number": "904-880-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10881 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236612",
            "telephone_number": "904-880-5522",
            "fax_number": "904-880-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "RYAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME68586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "08691",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "28750",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378240900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G H I",
            "identifier": "7299313",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00741474A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "213239",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3602304",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "726514800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920001650",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.