Active NPI
Joel A. Perlson, D.O.
- Family Medicine Physician
- Southgate, MI
National Provider Identifier
1649243676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101006866
- Practice address
- 15777 Northline Rd Ste 200
Southgate, MI 48195-2354 - Phone
- (734) 246-8100
- Fax
- (313) 581-0228
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5101006866 | MI | |
| Family Medicine Physician | 207Q00000X | 5101006866 | MI | Primary |
Addresses
Primary practice location
15777 Northline Rd Ste 200
Southgate, MI 48195-2354
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078099 | Medicaid | MI | |
| 0Q260790 | Other | MI | BCBSM |
| 010049845 | Other | MI | PALMETTO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.74 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101006866 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ark Multispecialty Physicians PLLC | Current | Accepting new patients |
Locations
25130 Southfield Rd
Ste 120
Southfield, MI 48075
Phone (248) 234-6790
25130 Southfield Rd
Ste 230
Southfield, MI 48075
Phone (248) 234-6790
25130 Southfield Rd
Ste 105
Southfield, MI 48075
Phone (248) 234-6790
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1598112567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1649243676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15777 NORTHLINE RD STE 200",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952354",
"telephone_number": "734-246-8100",
"fax_number": "313-581-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLSON",
"first_name": "JOEL",
"middle_name": "A.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "5101006866",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101006866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078099",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0Q260790",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "010049845",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.