Individual provider Active NPI

Jennifer B Perone, MD

  • MOHS-Micrographic Surgery Physician
  • Corinth, TX
National Provider Identifier
1508968694
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
M4910 Issued in TX
Practice address
4851 S I 35 E
Suite 101
Corinth, TX 76210-2348
Phone
(940) 591-0900
Fax
(940) 220-6444
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 41532 TX
MOHS-Micrographic Surgery Physician 207ND0101X M4910 TX Primary

Addresses

Primary practice location

4851 S I 35 E
Suite 101
Corinth, TX 76210-2348

Mailing address

4851 S I 35 E
Suite 101
Corinth, TX 76210-2348
Phone (940) 951-0900

Other identifiers 1

IdentifierTypeStateIssuer
1508968694OtherNPI

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
I20070220000637 TX Practitioner - Dermatology 2466343058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Cancer Consultants PAGroup PAC ID 1850569476, 3 clinicians
Surgical Dermatology AssociatesGroup PAC ID 6901951078, 2 clinicians

Practice addresses (Care Compare)

12200 Park Central Dr
Suite 215
Dallas, TX 75251-3210
Phone (972) 239-6999

4851 S I 35
Suite 101
Corinth, TX 76210-2348
Phone (940) 591-0900

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision116
Removal of tissue1-10
Removal of skin lesions1-10
Removal of skin cancer1199
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4910TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Dermatology Associates CurrentSince Sep 1, 2009 Accepting new patients
Skin Cancer Consultants PA CurrentSince Sep 6, 2011 Accepting new patients
Dermatology Associates of Glastonbury LLC PastSince Dec 26, 1995 Accepting new patients

Locations

12200 Park Central Dr
Ste 215
Dallas, TX 75251
Phone (903) 893-6311

4851 S Interstate 35 E
Ste 101
Denton, TX 76210
Phone (940) 270-5000

2817 S Mayhill Rd
Ste 115
Denton, TX 76208
Phone (972) 634-2931

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCDBBA
  • Direct secure messaging: jennifer.perone@sda.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCDBBA/Endpoint/BCDBBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFCBA

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1508968694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 S I 35 E",
            "address_2": "SUITE 101",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762102348",
            "telephone_number": "940-951-0900",
            "fax_number": "940-220-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 S I 35 E",
            "address_2": "SUITE 101",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762102348",
            "telephone_number": "940-591-0900",
            "fax_number": "940-220-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERONE",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "41532",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "M4910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508968694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, TX

Sources for this page

Verify at the official NPI Registry.