Active NPI
Jennifer B Perone, MD
- MOHS-Micrographic Surgery Physician
- Corinth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- M4910
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508968694 | Other | NPI |
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
Enrollment records 1
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
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 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 116 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of skin cancer | 1199 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4910 | TX | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Dermatology Associates | Current | Accepting new patients | |
| Skin Cancer Consultants PA | Current | Accepting new patients | |
| Dermatology Associates of Glastonbury LLC | Past | 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
- https://fhir4.healow.com/fhir/r4/BCDBBA
- jennifer.perone@sda.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/BCDBBA/Endpoint/BCDBBA
- 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.
-
- Procedural Dermatology Physician
- Corinth, TX
- NPI 1992949564
-
- Procedural Dermatology Physician
- Dallas, TX
- NPI 1164724837
-
- Dermatology Physician
- Glastonbury, CT
- NPI 1730175845
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.