Active NPI
Allison Anne Pernic, M.D.
- Ophthalmology Physician
- Warsaw, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01074204A
- Practice address
- 2251 Dubois Dr
Warsaw, IN 46580-3212 - Phone
- (574) 269-2777
- Fax
- (574) 371-4697
- NPI assigned
- Mar 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01074204A | IN | Primary |
Addresses
Primary practice location
2251 Dubois Dr
Warsaw, IN 46580-3212
Mailing address
2251 Dubois Dr
Warsaw, IN 46580-3212
Phone (574) 269-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01074204A | Other | IN | STATE LICENSE |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Indiana University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2251 Dubois Dr
Warsaw, IN 46580-3212
Phone (574) 269-2777
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.94 of 100
- Quality
- 91.45
- Improvement activities
- 40
- Cost
- 77.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 502 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Grossnickle Eye Center, Inc. | Ophthalmology | Current | Accepting new patients |
| Grossnickle Eye Center, Inc. | Current | Accepting new patients | |
| Grossnickle Eye Center, Inc. | Ophthalmology | Current | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1510 Osolo Rd
Elkhart, IN 46514
Phone (574) 266-6100
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
1160 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-2128
550 University Blvd
#3075
Indianapolis, IN 46202
Phone (317) 274-2698
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
4330 Edison Lakes Pkwy
Ste A
Mishawaka, IN 46545
Phone (574) 269-2777
2855 Miller Dr
Ste 121
Plymouth, IN 46563
Phone (574) 647-1600
2251 Dubois Dr
Warsaw, IN 46580
Phone (574) 269-2777
Interoperability endpoints
- https://app.meldrx.com/api/fhir/mi-gecenter
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Warsaw, IN
- NPI 1265436125
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Ophthalmologic Surgery Clinic/Center
- Warsaw, IN
- NPI 1134259179
-
- Durable Medical Equipment & Medical Supplies
- Warsaw, IN
- NPI 1407882236
Ophthalmology
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1497070957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 DUBOIS DR",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803212",
"telephone_number": "574-269-2777",
"fax_number": "574-371-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 DUBOIS DR",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803212",
"telephone_number": "574-269-2777",
"fax_number": "574-371-4697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERNIC",
"first_name": "ALLISON",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-28",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01074204A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "01074204A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.