Individual provider Active NPI

Luke Robert Perrin, M.D.

  • Family Medicine Physician
  • Grinnell, IA
National Provider Identifier
1407834740
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35231 Issued in IA
Practice address
210 4TH Ave
Grinnell, IA 50112-1898
Phone
(641) 236-2378
NPI assigned
Jan 6, 2006
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35231 IA Primary

Addresses

Primary practice location

210 4TH Ave
Grinnell, IA 50112-1898

Mailing address

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-2378

Other identifiers 1

IdentifierTypeStateIssuer
I20940022OtherIAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20031201000627 IA Practitioner - Family Practice 6406751676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Clinic PCGroup PAC ID 6608768676, 21 clinicians

Practice addresses (Care Compare)

300 N 4TH Ave E
Suite 200
Newton, IA 50208-3122
Phone (641) 792-2112

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Clinic PC Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Doctorsnow Doral LLC Past Accepting new patients

Locations

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

300 N 4th Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-2112

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/31005/brand/1/csg/1/fhir/r4
  • Direct secure messaging: luke.perrin.1@31005.direct.athenahealth.com
  • Direct secure messaging: lukeperrin@grmc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1407834740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2378",
            "fax_number": "641-236-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "LUKE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "35231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "I20940022",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.