Individual provider Active NPI

Sunil Pushpakumara Perera, M.D.

  • Allergy Physician
  • Roseville, CA
National Provider Identifier
1417039371
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
A30538 Issued in CA
Practice address
935 Reserve Dr
Roseville, CA 95678-1340
Phone
(916) 782-7758
Fax
(916) 782-7770
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X A30538 CA Primary

Addresses

Primary practice location

935 Reserve Dr
Roseville, CA 95678-1340

Mailing address

935 Reserve Dr
Roseville, CA 95678-1340
Phone (916) 782-7758

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ7673ZMedicaidCA

Other names 1

  • Sunil P Perera Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050624000470 CA Practitioner - Allergy/Immunology 7315982881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Columbia University College of Physicians and Surgeons, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

935 Reserve Dr
Roseville, CA 95678-1340
Phone (916) 782-7758

Hospital & facility affiliations

  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

Merit-based Incentive Payment System (MIPS)

Final score
95.38 of 100Reported as individual
Quality
99.63
Improvement activities
40
Cost
74.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30538CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Medical Group of the North Area Inc. CurrentSince Jan 1, 1976 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

935 Reserve Dr
Roseville, CA 95678
Phone (916) 782-7758

1 Scripps Dr
Ste 105
Sacramento, CA 95825
Phone (916) 925-1056

1 Scripps Dr
Ste 101
Sacramento, CA 95825
Phone (916) 451-5678

1526 Plumas Ct
Ste 200
Yuba City, CA 95991

Organizations & group practices 3

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 3

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417039371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 RESERVE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781340",
            "telephone_number": "916-782-7758",
            "fax_number": "916-782-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 RESERVE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781340",
            "telephone_number": "916-782-7758",
            "fax_number": "916-782-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERERA",
        "first_name": "SUNIL",
        "middle_name": "PUSHPAKUMARA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A30538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ7673Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNIL",
            "last_name": "PERERA",
            "middle_name": "P",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.