Nikolajs Perdue, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01080087A Issued in IN

Practice address

6820 Parkdale PL Ste 211
Indianapolis, IN 46254-6600

Phone

(317) 329-7050

NPI assigned

May 19, 2014

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

Medicare fee-for-service enrollment

Enrolled in IN

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

Dermatology

Education

Indiana University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Eagle Creek DermatologyGroup PAC ID 8921131731, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.1 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.02

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nperdue13614@direct.eskenazihealth.edu

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.

• Eagle Creek Dermatology

  • Clinical & Laboratory Dermatological Immunology Physician
  • Indianapolis, IN
  • NPI 1053561928

  Dermatology

  Medicare reassignment Care Compare group NPD
• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment Care Compare group NPD
• Mina Swofford, M.D. P.C

  • Dermatology Physician
  • Anderson, IN
  • NPI 1326250499
  Medicare reassignment NPD
• University Dermatology, Inc.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1033159405
  NPD

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1639580152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PL STE 211",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PL STE 211",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546600",
            "telephone_number": "317-329-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "NIKOLAJS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11017590A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01080087A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannee Pepper, RBT
• Ronae Pepper, RBT
• Katherinne Peraza
• Anne Marie Perconti, LCAC
• Alexis Perdue, BCBA
• Michael Peregrim, MD
• Cilas Pereira Machado Junior, MD
• Jose Alexandre Pereira Pedrosa, MD
• Cristina Nancy Perez Chumbiauca, MD
• Nicolas Perez de Guzman

• Dermatology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.