Active NPI
Kristine Ellen Perle, M.D.
- Family Medicine Physician
- Painted Post, NY
National Provider Identifier
1508885971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 252305
- Practice address
- 9768 Liberty Dr
Painted Post, NY 14870-9094 - Phone
- (607) 937-4900
- Fax
- (607) 937-4940
- NPI assigned
- Jul 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD061954L | PA | |
| Family Medicine Physician | 207Q00000X | 252305 | NY | Primary |
Addresses
Primary practice location
9768 Liberty Dr
Painted Post, NY 14870-9094
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016290240002 | Medicaid | PA | |
| 03104267 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kperle7990@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971
720 Willow Ave
Ithaca, NY 14850-3215
Phone (607) 219-4600
9768 Liberty Dr
Painted Post, NY 14870-9094
Phone (607) 937-4900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Evangelical Medical Services Organization | Past | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
9768 Liberty Dr
Painted Post, NY 14870
Phone (607) 937-4800
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- kperle7990@direct-guthrie.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
dba WellSpan Behavioral Health
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corning, NY
- NPI 1346241973
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1508885971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9768 LIBERTY DR",
"city": "PAINTED POST",
"state": "NY",
"postal_code": "148709094",
"telephone_number": "607-937-4900",
"fax_number": "607-937-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLE",
"first_name": "KRISTINE",
"middle_name": "ELLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2021-04-09",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD061954L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "252305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016290240002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03104267",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kperle7990@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9768 Liberty Dr",
"city": "Painted Post",
"state": "NY",
"country_code": "US",
"postal_code": "148709094",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Painted Post, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.