Individual provider Active NPI

Rachel L Perry, M.D.

  • Ophthalmology Physician
  • Wilmington, DE
National Provider Identifier
1700973450
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0053518 Issued in MD
Practice address
3501 Silverside Rd
Wilmington, DE 19810-4910
Phone
(302) 477-3937
Fax
(302) 477-2653
NPI assigned
Oct 6, 2006
Last updated
May 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0053518 MD Primary

Addresses

Primary practice location

3501 Silverside Rd
Wilmington, DE 19810-4910

Mailing address

3501 Silverside Rd
Wilmington, DE 19810-4910
Phone (302) 477-3937

Other identifiers 1

IdentifierTypeStateIssuer
387900300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120322000030 MD Practitioner - Ophthalmology 8921268335 Practice locations: Chestertown, MD
I20150105000087 DE Practitioner - Ophthalmology 8921268335 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Ophthalmology Consultants PA Ophthalmology CurrentSince Oct 1, 2014 Accepting new patients
Delaware Ophthalmology Consultants PA Ophthalmology CurrentSince Oct 1, 2014 Accepting new patients
Seidenberg Protzko Eye Associates Past Accepting new patients
Atlantic Retina Center, P.a. Ophthalmology Past Accepting new patients

Locations

1941 Limestone Rd
Ste 205
Wilmington, DE 19808
Phone (302) 479-3937

3501 Silverside Rd
Wilmington, DE 19810
Phone (302) 479-3937

3509 Silverside Rd
Wilmington, DE 19810
Phone (302) 477-2621

Interoperability endpoints

  • Direct secure messaging: rperry@doc1004.srs-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1700973450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-477-3937",
            "fax_number": "302-477-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-477-3937",
            "fax_number": "302-477-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0053518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387900300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.