Keith A Perry, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD07817 Issued in RI

Practice address

14 Cedar Swamp Rd
Smithfield, RI 02917-2448

Phone

(401) 231-0060

Fax

(401) 231-0064

NPI assigned

May 19, 2006

Last updated

Mar 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

University of Vermont College of Medicine, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kperry@precision.curemd.direct-ci.com

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.

• Precision Pain Treatment Clinic LLC

  • Pain Medicine Physician
  • Smithfield, RI
  • NPI 1033523063
  Medicare reassignment NPD Authorized official
• Precision Pain Treatment Clinic

  • Interventional Pain Medicine Physician
  • Smithfield, RI
  • NPI 1326487018
  Authorized official Same address or phone
• US Care Inc

  • Pain Medicine Physician
  • Providence, RI
  • NPI 1609053347
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1548214141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CEDAR SWAMP RD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172448",
            "telephone_number": "401-231-0060",
            "fax_number": "401-231-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CEDAR SWAMP RD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172448",
            "telephone_number": "401-231-0060",
            "fax_number": "401-231-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "MD07817",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "RI",
            "license": "MD07817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002962",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin M. Orticerio, LATC
• Prany Ou
• Michelle Lynn Pavao, PHARMD
• Claire Pelham, LICSW
• Stephanie Jo Penchuk, PHYSICIAN
• Peter C Brasch MD LLC
• Peter C. Brasch, MD, LLC
• Emily Peters, PA-C
• Phalanx Med Rhode Island, LLC
• Phillip C. Barner, DDS

• Anesthesiology Physician in Smithfield, RI
• Providers in Smithfield, RI by specialty
• Anesthesiology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.

Verify at the official NPI Registry.