Individual provider Active NPI

Perri Prellop, M.D.

  • Radiation Oncology Physician
  • Lafayette, LA
National Provider Identifier
1508808981
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
200736 Issued in LA
Practice address
4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone
(337) 769-8660
Fax
(337) 769-8661
NPI assigned
Jun 12, 2006
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 200736 LA Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800

Mailing address

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone (337) 769-8660

Other identifiers 5

IdentifierTypeStateIssuer
4K170DX68OtherLAPERRI PRELLOP MEDICARE PTAN EFFECTIVE 05/19/2012
5DX68OtherLAONCOLOGICS LLC GROUP MEDICARE PTAN EFFECTIVE 05/19/2012
1043257MedicaidLA
329548ZLACOtherLAMEDICARE GROUP MEMBER PTAN FOR ACADIANA RADIATION THERAPY, LLC
200736OtherLALOUISIANA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20060811000439 LA Practitioner - Radiation Oncology 7618970625 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Associates of Acadiana LLPGroup PAC ID 4880975747, 6 clinicians
E Plus Oncologics Louisiana, LLCGroup PAC ID 5496918278, 5 clinicians
Acadiana Radiation Therapy LLCGroup PAC ID 1759604853, 6 clinicians

Practice addresses (Care Compare)

3975 I 49 S Service Rd
Suite 106
Opelousas, LA 70570-0775
Phone (337) 942-7609

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone (337) 769-8660

525 N Lewis St
New Iberia, LA 70563-2015
Phone (337) 364-1131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200736LAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E Plus Oncologics Louisiana LLC Radiation Oncology CurrentSince Apr 30, 2012 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Nov 30, 2013 Accepting new patients
Radiation Oncology Associates of Acadiana, LLP Radiation Oncology CurrentSince Jan 1, 2017 Accepting new patients
Acadiana Radiation Therapy LLC Radiation Oncology CurrentSince Oct 31, 2014 Accepting new patients
University Hospital & Clinics Inc CurrentSince Nov 30, 2013 Accepting new patients
Oncologics, Inc. Radiation Oncology PastSince Jan 1, 2017 Accepting new patients

Locations

1108 E 8th St
Crowley, LA 70526
Phone (337) 785-8080

155 Hospital Dr
Ste 100
Lafayette, LA 70503
Phone (337) 235-7743

155 Hospital Dr
Ste 102
Lafayette, LA 70503
Phone (337) 289-8067

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4809 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 981-2949

4809 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (318) 237-2057

917 General Mouton Ave
Lafayette, LA 70501
Phone (318) 237-2057

917 General Mouton Ave
#A
Lafayette, LA 70501
Phone (337) 237-2057

525 N Lewis St
New Iberia, LA 70563
Phone (337) 364-1131

3975 I 49 S Service Rd
Ste 106
Opelousas, LA 70570
Phone (337) 942-7609

Interoperability endpoints

  • Direct secure messaging: pprellop@epluscancercare.direct.varian.com
  • Direct secure messaging: pprellop@ionetwork.direct.varian.com

Organizations & group practices 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1508808981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRELLOP",
        "first_name": "PERRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "200736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERRI PRELLOP MEDICARE PTAN EFFECTIVE 05/19/2012",
            "identifier": "4K170DX68",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONCOLOGICS LLC GROUP MEDICARE PTAN EFFECTIVE 05/19/2012",
            "identifier": "5DX68",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043257",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMBER PTAN FOR ACADIANA RADIATION THERAPY, LLC",
            "identifier": "329548ZLAC",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA MEDICAL LICENSE",
            "identifier": "200736",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.