Organization Active NPI

Perkowski Family Medicine, LLC

  • Family Medicine Physician
  • Dover, OH
National Provider Identifier
1548132749
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PERKOWSKI FAMILY MEDICINE, LLC
Practice address
715 E Shafer Ave
Dover, OH 44622-2053
Phone
(330) 204-9498
NPI assigned
Sep 18, 2025
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Casey Thomas Perkowski, MDNPI 1972879930
Title
Owner
Phone
(330) 556-0440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

715 E Shafer Ave
Dover, OH 44622-2053

Mailing address

715 E Shafer Ave
Dover, OH 44622-2053
Phone (330) 556-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260115001194 OH Part B Supplier - Clinic/Group Practice 0042796476 Receives reassigned benefits from 2 practitioners
Practice locations: Dover, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2336652Perkowski Family Medicine, LLC715 E Shafer Ave, NE, Dover, OH 44622Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1548132749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E SHAFER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222053",
            "telephone_number": "330-556-0440",
            "fax_number": "330-549-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E SHAFER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222053",
            "telephone_number": "330-204-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKOWSKI FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "PERKOWSKI",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-556-0440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.