Active NPI
Renee Lynn Perkis, M.D.
- Family Medicine Physician
- Bear, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0058324
- Practice address
- 404 Foxhunt Dr
Bear, DE 19701-2538 - Phone
- (302) 652-2455
- Fax
- (302) 322-6252
- NPI assigned
- Apr 25, 2006
- Last updated
- Nov 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0058324 | MD | Primary |
Addresses
Primary practice location
404 Foxhunt Dr
Bear, DE 19701-2538
Mailing address
PO Box 151
New Castle, DE 19720-0151
Phone (302) 652-2455
Other practice location 1
349 E Pulaski Hwy
Elkton, MD 21921-6415
Phone (410) 398-4510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE6737 | Other | MD | MEDICARE RAILROAD GROUP |
| P00308151 | Other | MD | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1802 W 4TH St
Wilmington, DE 19805-3420
Phone (302) 655-5576
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0058324 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Family Healthcare, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Westside Family Healthcare, Inc. | Past | Accepting new patients | |
| Westside Family Healthcare, Inc | Past | Accepting new patients |
Locations
1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576
908 E 16th St
Ste B
Wilmington, DE 19802
Phone (302) 225-1800
Interoperability endpoints
- renee.perkis.1@20122.direct.athenahealth.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.
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1952303695
-
- Federally Qualified Health Center (FQHC)
- Newark, DE
- NPI 1801898556
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1669479929
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1710943956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197200151",
"telephone_number": "302-652-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 FOXHUNT DR",
"city": "BEAR",
"state": "DE",
"postal_code": "197012538",
"telephone_number": "302-652-2455",
"fax_number": "302-322-6252"
}
],
"practiceLocations": [
{
"address_1": "349 E Pulaski Hwy",
"address_purpose": "LOCATION",
"city": "Elkton",
"state": "MD",
"postal_code": "219216415",
"country_code": "US",
"telephone_number": "410-398-4510",
"fax_number": "410-398-5160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERKIS",
"first_name": "RENEE",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0058324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP",
"identifier": "DE6737",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00308151",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.