Individual provider Active NPI

Joseph C Perkinson III, M.D.

  • Family Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1497700058
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5179 Issued in TX
Practice address
17198 St Lukes Way
Suite 430
The Woodlands, TX 77384-8011
Phone
(936) 202-3108
Fax
(936) 202-3126
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5179 TX Primary

Addresses

Primary practice location

17198 St Lukes Way
Suite 430
The Woodlands, TX 77384-8011

Mailing address

17198 St Lukes Way
Suite 430
The Woodlands, TX 77384-8011
Phone (936) 202-3108

Other identifiers 2

IdentifierTypeStateIssuer
080178125OtherTXRR MEDICARE
0078GCOtherTXBC/BS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080930000122 TX Practitioner - Family Practice 5991872111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17150 N Eldridge Pkwy
Suite G
Tomball, TX 77377-2863
Phone (936) 202-3108

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
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
Vector Health, PLLC Family Medicine CurrentSince Aug 15, 2015 Accepting new patients
Sound Medical Clinic PA PastSince Aug 15, 2015 Accepting new patients

Locations

17198 St Lukes Way
Ste 430
The Woodlands, TX 77384
Phone (936) 202-3108

17150 N Eldridge Pkwy
Ste G
Tomball, TX 77377
Phone (281) 251-3997

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHEBDA/Endpoint/JHEBDA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1497700058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17198 ST LUKES WAY",
            "address_2": "SUITE 430",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848011",
            "telephone_number": "936-202-3108",
            "fax_number": "936-202-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17198 ST LUKES WAY",
            "address_2": "SUITE 430",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848011",
            "telephone_number": "936-202-3108",
            "fax_number": "936-202-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINSON",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080178125",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "0078GC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.