NPIMap

Individual provider Active NPI

Tiffany Perkins, MD

  • Urology Physician
  • Redding, CA
National Provider Identifier
1518383140
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A163085 Issued in CA
Practice address
2624 Edith Ave
Redding, CA 96001-3092
Phone
(530) 241-3316
Fax
(530) 241-6319
NPI assigned
Mar 6, 2014
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Urology Physician 208800000X A163085 CA Primary

Addresses

Primary practice location

2624 Edith Ave
Redding, CA 96001-3092

Mailing address

2624 Edith Ave
Redding, CA 96001-3092
Phone (530) 241-3316

Other practice location 1

234 E Gray St Ste 662
Louisville, KY 40202-1921
Phone (502) 588-4746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910001678 CA Practitioner - Urology 2163732512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redding Urologic Associates a Medical CorpGroup PAC ID 1052385622, 4 clinicians

Practice addresses (Care Compare)

2626 Edith Ave
Suite C
Redding, CA 96001-3056
Phone (530) 241-3316

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163085CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Urologic Associates, a Medical Corp Urology CurrentSince Sep 1, 2019 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Medical Foundation PastSince Aug 11, 2019 Accepting new patients

Locations

2624 Edith Ave
Redding, CA 96001
Phone (530) 241-3316

2626 Edith Ave
Ste C
Redding, CA 96001
Phone (530) 241-3316

Interoperability endpoints

  • Direct secure messaging: tiffanyperkins@reddinguroassoc.medalliesdirect.net

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, 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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1518383140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 EDITH AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013092",
            "telephone_number": "530-241-3316",
            "fax_number": "530-241-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 EDITH AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013092",
            "telephone_number": "530-241-3316",
            "fax_number": "530-241-6319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E Gray St Ste 662",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021921",
            "country_code": "US",
            "telephone_number": "502-588-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "TIFFANY",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A163085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.