Kendra Alexandria Eldridge Pertuset, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006631 Issued in OH

Practice address

2127 25TH St
Portsmouth, OH 45662-3250

Phone

(740) 355-6634

Fax

(740) 355-1273

NPI assigned

Sep 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ibrahim M Zayneh MD LLCGroup PAC ID 4183523228, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaepertuset@izayneh.emadirect.md

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.

• Ibrahim M Zayneh MD LLC

  • Dermatology Physician
  • Portsmouth, OH
  • NPI 1891974416
  Medicare reassignment Care Compare group
• Sonja Lichtenstein Zayneh MD LLC

  • Surgery Physician
  • Portsmouth, OH
  • NPI 1215116835
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1053342816
  Care Compare affiliation

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1558978296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 ROSEMOUNT RD",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456626666",
            "telephone_number": "740-727-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 25TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623250",
            "telephone_number": "740-355-6634",
            "fax_number": "740-355-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE PERTUSET",
        "first_name": "KENDRA",
        "middle_name": "ALEXANDRIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Eichenlaub
• Lisa L Eimer, LCDC II, ADC, PRSS
• Alicia Eizman, CDCA
• Heidi Eizman, MSN, APRN, NP-C
• Randy H Ekins, D.O.
• Deanna Eldridge, OCPSA
• Darrick Eley
• Brandon Lee Elkins, LCDCIII
• Melissa Elkins
• Robert Elkins

• Physician Assistant in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.