Praveen C Perni, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

01067826A Issued in IN

Practice address

12174 N Meridian St Ste 100
Carmel, IN 46032-4578

Phone

(317) 208-3866

Fax

(317) 208-3867

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Orthopedic Surgery

Education

Northeastern Ohio University College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverview Health Hospital, Noblesville, IN, CCN 150059
• Hendricks Regional Health Hospital, Danville, IN, CCN 150005
• Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pperni211190@direct.optum.com

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.

• American Health Network of Indiana, LLC

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1831236272
  Medicare reassignment Care Compare group NPD
• American Health Network of Indiana LLC

  dba American Health Network of Indiana LLC/TELERADIOLOGY

  • Radiology Clinic/Center
  • New Albany, IN
  • NPI 1164304424
  NPD
• American Health Network of Indiana, LLC

  • Family Medicine Physician
  • Mulberry, IN
  • NPI 1033220017
  NPD (past)
• Center for Orthopaedic Surgery & Sports Medicine, PC

  dba myOrthoTeam

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Indianapolis, IN
  • NPI 1235150210
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1467485003
  Care Compare affiliation
• Hendricks County Hospital

  • General Acute Care Hospital
  • Danville, IN
  • NPI 1669475950
  Care Compare affiliation
• Riverview Hospital

  • General Acute Care Hospital
  • Noblesville, IN
  • NPI 1700883717
  Care Compare affiliation

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1437368479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12174 N MERIDIAN ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-208-3866",
            "fax_number": "317-208-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12174 N MERIDIAN ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-208-3866",
            "fax_number": "317-208-3867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8607 E US Highway 36 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461237960",
            "country_code": "US",
            "telephone_number": "317-745-5403",
            "fax_number": "317-745-8017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17600 Shamrock Blvd Ste 600B",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460747002",
            "country_code": "US",
            "telephone_number": "317-208-3866",
            "fax_number": "317-720-8386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 S Dixon Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026411",
            "country_code": "US",
            "telephone_number": "765-455-5400",
            "fax_number": "765-865-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERNI",
        "first_name": "PRAVEEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IN",
            "license": "01067826A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200996340",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "praveen.pernimd.p68@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8607 E US Highway 36 Ste 100",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461237960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Perkins, PT
• Caitlyn Mariel Perkins, NP
• Elizabeth Perkins
• Joshua Perkins, PA
• Madeline Ann Perlewitz, MD
• Tina Michelle Perron, DPM
• Maggie Perry
• Personalized Healthcare of Carmel, LLC
• Persons Centered Value Partners LLC
• Katherine Ann Peters, PHARMACIST

• Orthopaedic Surgery of the Spine Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Orthopaedic Surgery of the Spine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.