Active NPI
Tina Michelle Perron, DPM
- Podiatrist
- Carmel, IN
National Provider Identifier
1437458072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07001173A
- Practice address
- 13295 Illinois St Ste 104
Carmel, IN 46032-3025 - Phone
- (317) 218-4095
- Fax
- (317) 733-3041
- NPI assigned
- Mar 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Podiatrist | 213E00000X | 07001173A | IN | Primary |
Addresses
Primary practice location
13295 Illinois St Ste 104
Carmel, IN 46032-3025
Mailing address
13295 Illinois St Suite 104
Carmel, INDIANA 46032
UM
Phone (317) 218-4095
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161202000725 | IN | Order and Referring Only - Podiatry | 7315162583 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Indiana Vascular Care, LLC. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Greenwood, IN
- NPI 1659984870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1437458072",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "13295 ILLINOIS ST SUITE 104",
"city": "CARMEL",
"state": "INDIANA",
"postal_code": "46032",
"telephone_number": "317-218-4095",
"fax_number": "317-733-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13295 ILLINOIS ST STE 104",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323025",
"telephone_number": "317-218-4095",
"fax_number": "317-733-3041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRON",
"first_name": "TINA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001173A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.