Individual provider Active NPI

Ignazio Dominic Perna, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brighton, MI
National Provider Identifier
1730272915
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001888 Issued in MI
Practice address
5889 Whitmore Lake Rd Ste a
Brighton, MI 48116-1998
Phone
(810) 227-4155
Fax
(810) 227-0845
NPI assigned
Oct 2, 2006
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901001888 MI Primary

Addresses

Primary practice location

5889 Whitmore Lake Rd Ste a
Brighton, MI 48116-1998

Mailing address

5889 Whitmore Lake Rd
Brighton, MI 48116-1998
Phone (810) 227-4155

Other identifiers 1

IdentifierTypeStateIssuer
3113590MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810003724 MI Practitioner - Podiatry 8426329301 Reassigns benefits to 1 organization
Practice locations: Trenton, MI; Taylor, MI; Sterling Heights, MI; Royal Oak, MI; Madison Heights, MI; Livonia, MI; Brighton, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee K Gold DPM PCGroup PAC ID 2163683962, 2 clinicians

Practice addresses (Care Compare)

5889 Whitmore Lake Rd
Suite 1
Brighton, MI 48116-1998
Phone (810) 227-4155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue94
Removal of skin lesions20
Removal of nail tissue308
Removal or shaving of skin growth130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001888MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee K Gold DPM PC Foot & Ankle Surgery CurrentSince Jan 3, 2018 Accepting new patients

Locations

5889 Whitmore Lake Rd
Brighton, MI 48116
Phone (810) 227-4155

5889 Whitmore Lake Rd
Ste 1
Brighton, MI 48116
Phone (810) 227-4155

5889 Whitmore Lake Rd
Ste A
Brighton, MI 48116
Phone (810) 227-4155

37650 Professional Center Dr
Ste 1010A
Livonia, MI 48154
Phone (248) 552-9858

2405 E 14 Mile Rd
Sterling Hts, MI 48310
Phone (586) 264-1800

22021 Ecorse Rd
Taylor, MI 48180
Phone (313) 291-4444

Interoperability endpoints

  • Direct secure messaging: iperna1144330@direct.hfhs.org
  • Direct secure messaging: iperna40798@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1730272915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 WHITMORE LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161998",
            "telephone_number": "810-227-4155",
            "fax_number": "810-227-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5889 WHITMORE LAKE RD STE A",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161998",
            "telephone_number": "810-227-4155",
            "fax_number": "810-227-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "IGNAZIO",
        "middle_name": "DOMINIC",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3113590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.