Individual provider Active NPI

Robert Gregg Perlmuter, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1366546509
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036073796 Issued in IL
Practice address
1460 N Halsted St Ste 202
Primary Care Medical Associates
Chicago, IL 60642-2605
Phone
(773) 871-4409
Fax
(773) 871-3608
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036073796 IL Primary

Addresses

Primary practice location

1460 N Halsted St Ste 202
Primary Care Medical Associates
Chicago, IL 60642-2605

Mailing address

1460 N Halsted St Ste 202
Primary Care Medical Associates
Chicago, IL 60642-2605
Phone (773) 871-4409

Other identifiers 1

IdentifierTypeStateIssuer
036073796MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036073796ILMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: robert.perlmuter@393409484357636.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1366546509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST STE 202",
            "address_2": "PRIMARY CARE MEDICAL ASSOCIATES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422605",
            "telephone_number": "773-871-4409",
            "fax_number": "773-871-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST STE 202",
            "address_2": "PRIMARY CARE MEDICAL ASSOCIATES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422605",
            "telephone_number": "773-871-4409",
            "fax_number": "773-871-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMUTER",
        "first_name": "ROBERT",
        "middle_name": "GREGG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036073796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073796",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.