Jamie Peregrine, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

04-37983 Issued in KS

Practice address

9300 E 29TH St N Ste 102
Wichita, KS 67226-3007

Phone

(166) 872-1123

NPI assigned

Jun 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie Peregrine Dubaut Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Wesley Physicians Medical Specialties LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1699069732
  Medicare reassignment NPD
• The Center for Reproductive Medicine

  • Reproductive Endocrinology Physician
  • Wichita, KS
  • NPI 1710084082
  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1609162163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672263007",
            "telephone_number": "316-687-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672263007",
            "telephone_number": "166-872-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREGRINE",
        "first_name": "JAMIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2023-12-14",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-37983",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "KS",
            "license": "04-37983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "DUBAUT",
            "middle_name": "PEREGRINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mercedes J Perales, MD
• Leticia Peralta, MEDICAL ASSISTANT
• Sabine Marie Peraro
• Percolating Sunshine Center for Change, LLC
• Nayeli Pereda, RN
• Willy G Pereira, M.D.
• Elizabeth Perez-Elmore, RN BSN
• Anne Kathryn Perez, SLP
• Erica J Perez, CRNA
• Julie Eileen Perez, LBSW, MSW

• Reproductive Endocrinology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Reproductive Endocrinology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.