Individual provider Active NPI

Patricia Anne Perry, MD

  • Pediatrics Physician
  • Colorado Springs, CO
National Provider Identifier
1558458133
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13780 Issued in AL
Practice address
565 Space Center Dr
Colorado Springs, CO 80915-3609
Phone
(719) 524-2273
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 13780 AL Primary

Addresses

Primary practice location

565 Space Center Dr
Colorado Springs, CO 80915-3609

Mailing address

1425 Christian HTS
#201
Colorado Springs, CO 80919-5553
Phone (719) 323-8384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200423003099 ME Practitioner - Pediatric Medicine 7618303900 Reassigns benefits to 1 organization
I20240409000673 CO Practitioner - Pediatric Medicine 7618303900 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13780ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Group Pediatrics CurrentSince Jan 1, 2020 Accepting new patients
Arctic Slope Native Association LTD Current Accepting new patients
York Hospital Pediatrics CurrentSince Mar 22, 2020 Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients

Locations

16 Hospital Dr
Ste D
York, ME 03909
Phone (207) 351-1710

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

160 E Warwick Dr
Alma, MI 48801
Phone (855) 289-5353

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Interoperability endpoints

  • Direct secure messaging: pperry90896@mymichiganhealth.midirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1558458133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 CHRISTIAN HTS",
            "address_2": "#201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809195553",
            "telephone_number": "719-323-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 SPACE CENTER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809153609",
            "telephone_number": "719-524-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "13780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.