Individual provider Active NPI

Alexis C Perkins, MD

  • Dermatology Physician
  • Concord, MA
National Provider Identifier
1659547727
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
233211 Issued in MA
Practice address
290 Baker Ave
Ste 220N
Concord, MA 01742-2189
Phone
(978) 369-9023
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 233211 MA Primary

Addresses

Primary practice location

290 Baker Ave
Ste 220N
Concord, MA 01742-2189

Mailing address

290 Baker Ave
Concord, MA 01742-2189
Phone (617) 821-4472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110901000681 MA Practitioner - Dermatology 0547430456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Concord IncGroup PAC ID 6901839539, 15 clinicians

Practice addresses (Care Compare)

625 Mount Auburn St
Cambridge, MA 02138-4555
Phone (617) 354-5658

Hospital & facility affiliations

  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084
  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions739
Removal or shaving of skin growth281
Skin biopsy131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233211MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Concord Inc Dermatology CurrentSince Aug 15, 2011 Accepting new patients

Locations

625 Mount Auburn St
Cambridge, MA 02138
Phone (617) 354-5658

625 Mount Auburn St
Ste 101B
Cambridge, MA 02138
Phone (617) 354-6568

290 Baker Ave
Ste N220
Concord, MA 01742
Phone (978) 254-1600

290 Baker Ave
Concord, MA 01742
Phone (978) 369-0730

Interoperability endpoints

  • Direct secure messaging: aperkins254613@direct.bilh.masshiway.net

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.

Hospital & facility affiliations 2

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1659547727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "617-821-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "address_2": "STE 220N",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ALEXIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "233211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.