Individual provider Active NPI

Gerald Perelman, DPM

  • Podiatrist
  • Wilmington, OH
National Provider Identifier
1417950247
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002858 Issued in OH
Practice address
1435 Rombach Ave
Wilmington, OH 45177-1991
Phone
(937) 382-2347
NPI assigned
May 24, 2005
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002858 OH Primary

Addresses

Primary practice location

1435 Rombach Ave
Wilmington, OH 45177-1991

Mailing address

6200 Pleasant Ave
Suite 3
Fairfield, OH 45014-4670
Phone (513) 829-9333

Other identifiers 1

IdentifierTypeStateIssuer
0976752MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000137 OH Practitioner - Podiatry 3476459397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1435 Rombach Ave
Wilmington, OH 45177-1991
Phone (937) 382-2347

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue337
Removal or shaving of skin growth236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
36002858OHMDPodiatrist
2858OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald K Perelman DPM Podiatrist CurrentSince Sep 12, 2013 Accepting new patients

Locations

7565 Kenwood Rd
Cincinnati, OH 45236
Phone (513) 791-4764

6200 Pleasant Ave
Ste 3
Fairfield, OH 45014
Phone (513) 745-9988

1000 Columbus Ave
Lebanon, OH 45036
Phone (513) 932-7951

1073 Oregonia Rd
Ste A
Lebanon, OH 45036
Phone (513) 695-1560

1435 Rombach Ave
Wilmington, OH 45177
Phone (937) 382-2347

1435 Rombach Ave
Ste 6
Wilmington, OH 45177
Phone (937) 382-2347

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1417950247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PLEASANT AVE",
            "address_2": "SUITE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144670",
            "telephone_number": "513-829-9333",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451771991",
            "telephone_number": "937-382-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELMAN",
        "first_name": "GERALD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0976752",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.