Individual provider Active NPI

Elwyn Joe Perser, M.D.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1619947298
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-2350 Issued in AR
Practice address
7 Office Park Dr
Suite 100
Little Rock, AR 72211-3843
Phone
(501) 225-9222
Fax
(501) 225-8564
NPI assigned
Jan 25, 2006
Last updated
Apr 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-2350 AR Primary

Addresses

Primary practice location

7 Office Park Dr
Suite 100
Little Rock, AR 72211-3843

Mailing address

7 Office Park
Suite 100 Family Practice
Little Rock, AR 72211-5610
Phone (501) 225-9222

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100929001090 AR Practitioner - Family PracticePractitioner - General Practice 7214053099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1415 Breckenridge Dr
Suite B
Little Rock, AR 72227-4819

1415 Breckenridge Dr
Suite B
Little Rock, AR 72227-4864
Phone (501) 225-9222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.19 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Specialists of Arkansas PastSince Mar 1, 2002 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1619947298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OFFICE PARK",
            "address_2": "SUITE 100 FAMILY PRACTICE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115610",
            "telephone_number": "501-225-9222",
            "fax_number": "501-225-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OFFICE PARK DR",
            "address_2": "SUITE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113843",
            "telephone_number": "501-225-9222",
            "fax_number": "501-225-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSER",
        "first_name": "ELWYN",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-2350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.