Individual provider Active NPI

Richard Grover Perry, MD

  • Addiction Medicine (Family Medicine) Physician
  • Oakland, MD
National Provider Identifier
1710930805
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
D0031408 Issued in MD
Practice address
233 E Alder St Ste a
Oakland, MD 21550-1513
Phone
(301) 616-6042
NPI assigned
May 18, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0031408 MD
Addiction Medicine (Family Medicine) Physician 207QA0401X D0031408 MD Primary

Addresses

Primary practice location

233 E Alder St Ste a
Oakland, MD 21550-1513

Mailing address

233 E Alder St Ste a
Oakland, MD 21550-1513
Phone (301) 616-6042

Other practice location 1

251 N Fourth Street
Oakland, MD 21550-1375
Phone (301) 533-4190

Other identifiers 1

IdentifierTypeStateIssuer
364831100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040611000569 MD Practitioner - Addiction MedicinePractitioner - Pain ManagementPractitioner - Emergency Medicine 9032192802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Pain Management
Education
Georgetown University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garrett Treatment Center LLCGroup PAC ID 9436416864, 2 clinicians

Practice addresses (Care Compare)

233 E Alder St
Suite a
Oakland, MD 21550-1513
Phone (301) 533-2888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0031408MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett Treatment Center, LLC CurrentSince Oct 6, 2017 Accepting new patients
Garrett County Memorial Hospital PastSince Aug 21, 2007 Accepting new patients

Locations

233 E Alder St
Ste A
Oakland, MD 21550
Phone (301) 533-2888

Organizations & group practices 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710930805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E ALDER ST STE A",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501513",
            "telephone_number": "301-616-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E ALDER ST STE A",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501513",
            "telephone_number": "301-616-6042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 N Fourth Street",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215501375",
            "country_code": "US",
            "telephone_number": "301-533-4190",
            "fax_number": "301-533-4208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RICHARD",
        "middle_name": "GROVER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0031408",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D0031408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364831100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.