Individual provider Active NPI

Steven Kyle Perilman, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Houston, TX
National Provider Identifier
1467558510
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
J4430 Issued in TX
Practice address
6621 Fannin St
Houston, TX 77030-2358
Phone
(832) 824-1000
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J4430 TX
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X J4430 TX
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X J4430 TX Primary

Addresses

Primary practice location

6621 Fannin St
Houston, TX 77030-2358

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

901 Double Springs Ln
Keller, TX 76248-4241
Phone (817) 690-4336

Other practice location 2

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 577-6011

Other practice location 3

1102 W Trenton Rd
Edinburg, TX 78539-9105
Phone (956) 388-6900

Other practice location 4

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5000

Other identifiers 14

IdentifierTypeStateIssuer
134992008MedicaidTX
121320100OtherTXFIRSTCARE PIN
137283103MedicaidTX
5040636OtherTXAETNA PIN
137345805MedicaidTX
4731603OtherTXCIGNA PIN
10022295OtherTXAMERIGROUP PIN
00L42VOtherTXBCBSTX GRP PIN
108867OtherTXSUPERIOR PIN
1669442042OtherGRP NPI NUMBER
1854186OtherTXFIRSTHEALTH PIN
88629XOtherTXBCBSTX IND PIN
134992007MedicaidTX
1415257OtherTXUHC PIN

Other names 1

  • Dr. Steven Kyle Perilman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100222000522 TX Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 4789728254 Reassigns benefits to 7 organizations
I20260324000238 OK Practitioner - Pediatric Medicine 4789728254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4835 LBJ Fwy
Suite 900
Dallas, TX 75244

8 Oak Park Dr
Bedford, MA 01730-1414

PO Box
Indianapolis, IN 46206

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barrier Reef Emergency Physicians PLLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Texas Children'S Physician Group CurrentSince May 15, 2025 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Aug 18, 2019 Accepting new patients
Pediatric Emergency Medicine Group LLP Emergency Medicine CurrentSince Sep 30, 2015 Accepting new patients
Nueces Emergency Medicine Associates PA Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Texas Children'S Hospital Past Accepting new patients
Texas Children'S Hospital Past Accepting new patients
Chamizal Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

921 Gessner Rd
#H
Houston, TX 77024

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

2555 Gulf Fwy S
#C1100
League City, TX 77573

2555 Gulf Fwy S
Ste C1100
League City, TX 77573
Phone (832) 932-9850

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

17600 Interstate 45 S
The Woodlands, TX 77384
Phone (936) 267-5000

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

330 W Interstate 2
Weslaco, TX 78599
Phone (956) 520-3300

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1467558510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302358",
            "telephone_number": "832-824-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Double Springs Ln",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762484241",
            "country_code": "US",
            "telephone_number": "817-690-4336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 N Oregon St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023320",
            "country_code": "US",
            "telephone_number": "915-577-6011",
            "fax_number": "915-577-7064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 W Trenton Rd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785399105",
            "country_code": "US",
            "telephone_number": "956-388-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3533 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "78411",
            "country_code": "US",
            "telephone_number": "361-694-5000",
            "fax_number": "361-694-5317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERILMAN",
        "first_name": "STEVEN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J4430",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "J4430",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "J4430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134992008",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE PIN",
            "identifier": "121320100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137283103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "5040636",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137345805",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "4731603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PIN",
            "identifier": "10022295",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX GRP PIN",
            "identifier": "00L42V",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR PIN",
            "identifier": "108867",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI NUMBER",
            "identifier": "1669442042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHEALTH PIN",
            "identifier": "1854186",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX IND PIN",
            "identifier": "88629X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134992007",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PIN",
            "identifier": "1415257",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "PERILMAN",
            "middle_name": "KYLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.