Jack B Perlmutter, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036.070720 Issued in IL

Practice address

22285 N Pepper Rd Ste 105
Lake Barrington, IL 60010-2539

Phone

(847) 277-9100

Fax

(847) 277-9110

NPI assigned

Sep 20, 2005

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IL

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

Orthopedic Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Illinois Bone and Joint Institute LLC

  • Orthopaedic Surgery Physician
  • Bannockburn, IL
  • NPI 1205922432
  Medicare reassignment NPD
• Illinois Vein Specialists SC

  • Specialist
  • Barrington, IL
  • NPI 1619104692
  Medicare reassignment NPD
• Il Vein Specialists, LTD.

  • Medical Specialty Clinic/Center
  • Lake Barrington, IL
  • NPI 1821760752
  NPD
• Illinois Bone and Joint Institute, LLC

  • Orthopaedic Surgery Physician
  • Arlington Heights, IL
  • NPI 1962219568
  NPD

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

• Advocate Health and Hospitals Corporation

  dba Advocate Good Shepherd Hospital

  • General Acute Care Hospital
  • Barrington, IL
  • NPI 1447368071
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1578559019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 105",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102539",
            "telephone_number": "847-277-9100",
            "fax_number": "847-277-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 105",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102539",
            "telephone_number": "847-277-9100",
            "fax_number": "847-277-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMUTTER",
        "first_name": "JACK",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036.070720",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036070720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070720",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nilap Patel
• Sohal K Patel, MD.
• Shaina Peck, AGACNP-BC
• Pediatric Specialists of the NW MDSC
• Pepper Road Endoscopy Center LLC
• Samantha L Pohlman, PA
• Katherine L Pomerleau, PT
• Nistha Rawal, DO
• Rci (WRS), LLC. (Rush Kids Pediatric Therapy)
• Bridget Regan

• Specialist in Lake Barrington, IL
• Providers in Lake Barrington, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.