Active NPI
Carlo M Perfetto, M.D.
- Urology Physician
- Orchard Park, NY
National Provider Identifier
1568457182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 1611227
- Practice address
- 500 Sterling Dr
Orchard Park, NY 14127-1573 - Phone
- (716) 677-2273
- Fax
- (716) 677-2477
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 1611227 | NY | Primary |
Addresses
Primary practice location
500 Sterling Dr
Orchard Park, NY 14127-1573
Mailing address
500 Sterling Dr
Orchard Park, NY 14127-1573
Phone (716) 677-2273
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005104327 | Other | NY | COMMUNITY BLUE |
| MDB035 | Other | NY | PREFERRED CARE |
| 161511795 | Other | NY | UNITED HEALTHCARE EMPIRE |
| 340013074 | Other | NY | RAILROAD MEDICARE |
| 01088453 | Medicaid | NY | |
| 1909186 | Other | NY | INDEPENDENT HEALTH |
| 0445 | Other | NY | BLUE CROSS ROCHESTER |
| 161511795 | Other | NY | NORTH AMERICAN |
| 161511795 | Other | NY | HUMANA |
| 00010136501 | Other | NY | UNIVERA |
| P010161122 | Other | NY | BLUE CHOICE |
| 161511795 | Other | NY | NOVA |
| 9525327 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1611227 | NY | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1568457182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 STERLING DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271573",
"telephone_number": "716-677-2273",
"fax_number": "716-677-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 STERLING DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271573",
"telephone_number": "716-677-2273",
"fax_number": "716-677-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERFETTO",
"first_name": "CARLO",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "1611227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "005104327",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MDB035",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE EMPIRE",
"identifier": "161511795",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340013074",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01088453",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1909186",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ROCHESTER",
"identifier": "0445",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN",
"identifier": "161511795",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "161511795",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010136501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010161122",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVA",
"identifier": "161511795",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9525327",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.