Individual provider Active NPI

Howard Frederick Perell, MD

  • Ophthalmology Physician
  • Glen Burnie, MD
National Provider Identifier
1548258486
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D35744 Issued in MD
Practice address
203 Hospital Dr
Ste 306
Glen Burnie, MD 21061-6904
Phone
(410) 760-0005
Fax
(410) 760-1365
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D35744 MD Primary

Addresses

Primary practice location

203 Hospital Dr
Ste 306
Glen Burnie, MD 21061-6904

Mailing address

203 Hospital Dr
Ste 306
Glen Burnie, MD 21061-6904
Phone (410) 760-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100325000107 MD Practitioner - Ophthalmology 3375443567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D35744MDMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1548258486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "address_2": "STE 306",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616904",
            "telephone_number": "410-760-0005",
            "fax_number": "410-760-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "address_2": "STE 306",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616904",
            "telephone_number": "410-760-0005",
            "fax_number": "410-760-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELL",
        "first_name": "HOWARD",
        "middle_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D35744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.