Michelle Marie Perello, DO

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0102204368 Issued in VA

Practice address

4053 Taylor Rd Ste N
Chesapeake, VA 23321-5526

Phone

(757) 484-5900

Fax

(757) 483-6671

NPI assigned

Apr 13, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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 VA

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 Osteopathy

State licenses

Practice roles

Locations

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.

• Bon Secours Medical Group Hampton Roads Specialty Care LLC

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1629637475

  Pulmonary Disease

  Medicare reassignment NPD
• Bon Secours Medical Group Hampton Roads Specialty Care LLC

  dba Southampton Orthopaedic and Sports Medicine Center

  • Durable Medical Equipment & Medical Supplies
  • Franklin, VA
  • NPI 1205451028
  NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396709655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD STE N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215526",
            "telephone_number": "757-484-5900",
            "fax_number": "757-483-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD STE N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215526",
            "telephone_number": "757-484-5900",
            "fax_number": "757-483-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Child St",
            "address_2": "Naval Hospital Jacksonville",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322145005",
            "country_code": "US",
            "telephone_number": "904-542-7910",
            "fax_number": "904-542-7913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERELLO",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0102204368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396709655",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Institute for Community Health Inc (Chesapeake Community Health Center)
• Julia Pennell
• Peoples Signature Care LLC
• Peoples Signature Care LLC
• Princess Peoples
• Claudia Antonieta Perez Troisi
• Lucia A. Perez Troisi, DMD
• Amy Perez, MS, CCC-SLP
• Christian Manuel Perez, MD
• Caitlyn Peribonio, FNP-C

• Pulmonary Disease Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.