Individual provider Active NPI

Jeremie Jesse Perry, M.D.

  • Anesthesiology Physician
  • Abilene, TX
National Provider Identifier
1427162767
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L5512 Issued in TX
Practice address
1900 Pine St
Abilene, TX 79601-2432
Phone
(325) 793-5380
Fax
(325) 202-3020
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L5512 TX Primary

Addresses

Primary practice location

1900 Pine St
Abilene, TX 79601-2432

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4220

Other identifiers 2

IdentifierTypeStateIssuer
158199309MedicaidTX
0076PTOtherTXBCBS IND # PAIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040602000199 TX Practitioner - Anesthesiology 6507848827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Vanderbilt University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Anesthesia NetworkGroup PAC ID 3274521281, 99 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

6250 US Hwy 83
Abilene, TX 79606-5215
Phone (325) 428-1010

751 N
18TH
Abilene, TX 79601
Phone (915) 676-0557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.93 of 100Reported as group
Quality
34.03
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L5512TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Anesthesia Network CurrentSince Dec 1, 2008 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Michael D. Price, MD, PA Anesthesiology Past Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

Organizations & group practices 4

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 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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1427162767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012432",
            "telephone_number": "325-793-5380",
            "fax_number": "325-202-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JEREMIE",
        "middle_name": "JESSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L5512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158199309",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND # PAIN",
            "identifier": "0076PT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.