Individual provider Active NPI

Roy Sturat Perles, DPM

  • Podiatrist
  • Cambria HTS, NY
National Provider Identifier
1659326817
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NY003427 Issued in NY
Practice address
22508 Linden Blvd
Cambria HTS, NY 11411-1727
Phone
(718) 528-8558
NPI assigned
May 24, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NY003427 NY Primary

Addresses

Primary practice location

22508 Linden Blvd
Cambria HTS, NY 11411-1727

Mailing address

22508 Linden Blvd
Cambria HTS, NY 11411-1727
Phone (718) 528-8558

Other identifiers 2

IdentifierTypeStateIssuer
DS599OtherNVOXFORD
0090904OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080619000593 NY Practitioner - Podiatry 8123199072 Practice locations: Cambria HGTS, NY
O20100930060583 NY DME Supplier - Physician - Podiatry 1456565043 Practice locations: Cambria Heights, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 -08 Linden Blvd
Cambria HGTS, NY 11411-1727
Phone (718) 528-8558

22508 Linden Blvd
Cambria Heights, NY 11411-1727

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions179
Removal of nail tissue1335
Removal or shaving of skin growth1192
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003427NYMDSports Medicine (Physical Medicine & Rehabilitation) Physician
NY003427NYMDPodiatrist

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rop9107@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1659326817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22508 LINDEN BLVD",
            "city": "CAMBRIA HTS",
            "state": "NY",
            "postal_code": "114111727",
            "telephone_number": "718-528-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22508 LINDEN BLVD",
            "city": "CAMBRIA HTS",
            "state": "NY",
            "postal_code": "114111727",
            "telephone_number": "718-528-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLES",
        "first_name": "ROY",
        "middle_name": "STURAT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NY003427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "DS599",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0090904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria HTS, NY

Sources for this page

Verify at the official NPI Registry.