Active NPI
Isma Perveze, MD
- Anatomic Pathology & Clinical Pathology Physician
- Columbia, MO
National Provider Identifier
1417518846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2019022190
- Practice address
- 1 Hospital Dr.
M263 MSB - Department of Pathology
Columbia, MO 65212 - Phone
- (573) 882-1320
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2019022190 | MO | Primary |
Addresses
Primary practice location
1 Hospital Dr.
M263 MSB - Department of Pathology
Columbia, MO 65212
Mailing address
1 Hospital Dr.
M263 MSB - Department of Pathology
Columbia, MO 65212
Phone (573) 882-1320
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019022190 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1417518846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR.",
"address_2": "M263 MSB - DEPARTMENT OF PATHOLOGY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65212",
"telephone_number": "573-882-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR.",
"address_2": "M263 MSB - DEPARTMENT OF PATHOLOGY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65212",
"telephone_number": "573-882-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERVEZE",
"first_name": "ISMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "2019022190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.