Individual provider Active NPI

James F Perulfi, D.C.

  • Chiropractor
  • O'Fallon, IL
National Provider Identifier
1598885048
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008888 Issued in IL
Practice address
310 E Highway 50
Suite 2
O Fallon, IL 62269-2700
Phone
(618) 628-4488
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008888 IL Primary

Addresses

Primary practice location

310 E Highway 50
Suite 2
O Fallon, IL 62269-2700

Mailing address

3359 Garvey LN
Edwardsville, IL 62025-3232
Phone (618) 628-4488

Other identifiers 2

IdentifierTypeStateIssuer
705151OtherILHEALTHLINK
08232177OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006001058 IL Practitioner - Chiropractic 7618936501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ferrell Chiropractic LLCGroup PAC ID 9931274966, 2 clinicians

Practice addresses (Care Compare)

310 E Hwy 50
Suite 2
O Fallon, IL 62269-2700
Phone (618) 628-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038008888ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrell Chiropractic, LLC Chiropractor CurrentSince Mar 19, 2016 Accepting new patients
Wellnessone of Fairview Heights, LLC Chiropractor Past Accepting new patients

Locations

310 E Highway 50
Ste 2
O Fallon, IL 62269
Phone (618) 398-9716

Organizations & group practices 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1598885048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 GARVEY LN",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253232",
            "telephone_number": "618-628-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E HIGHWAY 50",
            "address_2": "SUITE 2",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692700",
            "telephone_number": "618-628-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERULFI",
        "first_name": "JAMES",
        "middle_name": "F",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "705151",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232177",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.