Individual provider Active NPI

Renee Carter-Perpall, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Bowie, MD
National Provider Identifier
1427184191
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
00648 Issued in MD
Practice address
4000 Mitchellville Rd
Suite A304
Bowie, MD 20716-3133
Phone
(301) 805-9308
Fax
(301) 805-9309
NPI assigned
Feb 26, 2007
Last updated
Jun 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 00648 MD Primary
Primary Podiatric Medicine Podiatrist 213EP1101X PO368 DC

Addresses

Primary practice location

4000 Mitchellville Rd
Suite A304
Bowie, MD 20716-3133

Mailing address

PO Box 2138
Bowie, MD 20718-2138
Phone (301) 805-9308

Other identifiers 2

IdentifierTypeStateIssuer
1125087 00MedicaidMD
146236OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040803000140 DC Practitioner - Podiatry 5799756912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Care Inc.Group PAC ID 3476647264, shared by 23 NPIs, 151 clinicians

Practice addresses (Care Compare)

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7222

3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300

765 Kenilworth Ter NE
Washington, DC 20019-1898
Phone (202) 388-8160

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue29
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00648MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince May 26, 2010 Accepting new patients
Unity Health Care Inc. CurrentSince May 26, 2010 Accepting new patients
Professional Management Services, LLC Past Accepting new patients
Professional Management Services, LLC Past Accepting new patients
Unity Health Care, Inc Past Accepting new patients
Mitchellville Foot Health, PC PastSince Jul 1, 1999 Accepting new patients

Locations

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

3020 14th St NW
Washington, DC 20009
Phone (202) 745-4300

Interoperability endpoints

  • Direct secure messaging: renee.carter@uhci.eclinicaldirectplus.com

Organizations & group practices 7

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435363200000",
    "number": "1427184191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2138",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207182138",
            "telephone_number": "301-805-9308",
            "fax_number": "301-805-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE A304",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163133",
            "telephone_number": "301-805-9308",
            "fax_number": "301-805-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-PERPALL",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MD",
            "license": "00648",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "DC",
            "license": "PO368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1125087 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "146236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.