NPIMap

Individual provider Active NPI

Michael Stephen Peroski, DO

  • Psychiatry Physician
  • Dubuque, IA
National Provider Identifier
1689092454
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO05087 Issued in IA
Practice address
200 Mercy Dr Ste 201
Dubuque, IA 52001
Phone
(635) 584-3500
NPI assigned
Mar 31, 2014
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO05087 IA Primary

Addresses

Primary practice location

200 Mercy Dr Ste 201
Dubuque, IA 52001

Mailing address

200 Mercy Dr Ste 201
Dubuque, IA 52001-7300
Phone (563) 584-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731000504 IA Practitioner - Psychiatry 2062710288 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Specialty ClinicGroup PAC ID 3375639586, 65 clinicians
Mercy Medical Center-DubuqueGroup PAC ID 2668467168, 20 clinicians
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians
Unified Therapy Services, IncGroup PAC ID 7618985714, 124 clinicians

Practice addresses (Care Compare)

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5900

150 Mercy Dr
Mercyone Dubuque Cancer Center
Dubuque, IA 52001-7320
Phone (563) 589-8024

200 Mercy Dr
Suite 201
Dubuque, IA 52001-7300
Phone (563) 584-3500

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8000

3485 Windsor Ave
Dubuque, IA 52001-1329
Phone (563) 690-9630

4135 Pennsylvania Ave
Dubuque, IA 52002-2628

915 13TH Ave N
Mercyone Clinton Plaza
Clinton, IA 52732-5067
Phone (563) 243-2511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO05087IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Specialty Clinic CurrentSince Jul 1, 2022 Accepting new patients
Mercy Specialty Clinic CurrentSince Jul 1, 2022 Accepting new patients
Medical Associates Clinic P C CurrentSince Jul 16, 2018 Accepting new patients
Stonehill Franciscan Services CurrentSince Jun 1, 2024 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince May 1, 2023 Accepting new patients
Crescent Community Health Center CurrentSince Oct 10, 2020 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Mercy Medical Center-Dubuque CurrentSince May 1, 2023 Accepting new patients

Locations

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

1690 Elm St
Ste 300
Dubuque, IA 52001
Phone (563) 690-2850

200 Mercy Dr
Ste 201
Dubuque, IA 52001
Phone (563) 584-3500

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

Interoperability endpoints

  • Direct secure messaging: mperoski3935525@direct.trinity-health.org

Organizations & group practices 9

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 3

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1689092454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY DR STE 201",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017300",
            "telephone_number": "563-584-3500",
            "fax_number": "563-584-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY DR STE 201",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52001",
            "telephone_number": "635-584-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROSKI",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "DO05087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.