NPIMap

Individual provider Active NPI

Elliott Perow, MD

  • Student in an Organized Health Care Education/Training Program
  • Newark, DE
National Provider Identifier
1740866425
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone
(302) 733-3901
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Mailing address

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250205001816 PA Practitioner - Emergency Medicine 5496156473 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Elk Regional Health CenterGroup PAC ID 7517870512, 47 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8595

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 5, 2024 Accepting new patients
J C Blair Memorial Hospital CurrentSince Dec 5, 2024 Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
J C Blair Memorial Hospital CurrentSince Dec 5, 2024 Accepting new patients
Elk Regional Health Center CurrentSince Jul 12, 2025 Accepting new patients
Tyrone Hospital CurrentSince Dec 5, 2024 Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
Tyrone Hospital CurrentSince Dec 5, 2024 Accepting new patients
Elk Regional Health Center CurrentSince Jul 12, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 5, 2024 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Ofc
Dubois, PA 15801

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

239 Colonnade Blvd
Ph Sc
State College, PA 16803
Phone (582) 220-2345

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1740866425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROW",
        "first_name": "ELLIOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.