Individual provider Active NPI

Allison Anne Pernic, M.D.

  • Ophthalmology Physician
  • Warsaw, IN
National Provider Identifier
1497070957
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01074204A Issued in IN
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

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01074204AOtherINSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718002146 IN Practitioner - Ophthalmology 4688890148 Reassigns benefits to 2 organizations

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
Grossnickle Eye Center IncGroup PAC ID 7810897758, 12 clinicians

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 100Reported as group
Quality
91.45
Improvement activities
40
Cost
77.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery502
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Apr 1, 2016 Accepting new patients
University Family Physicians, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Grossnickle Eye Center, Inc. Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Grossnickle Eye Center, Inc. Current Accepting new patients
Grossnickle Eye Center, Inc. Ophthalmology CurrentSince Aug 1, 2016 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.