Individual provider Active NPI

Neeraja Peri, M.D.

  • Family Medicine Physician
  • Coatesville, PA
National Provider Identifier
1750795811
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD461328 Issued in PA
Practice address
744 E Lincoln Hwy
Coatesville, PA 19320-3590
Phone
(610) 380-4660
NPI assigned
Jun 17, 2014
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD461328 PA Primary

Addresses

Primary practice location

744 E Lincoln Hwy
Coatesville, PA 19320-3590

Mailing address

744 E Lincoln Hwy
Coatesville, PA 19320-3590
Phone (610) 380-4660

Other identifiers 1

IdentifierTypeStateIssuer
103402747-0004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180111000056 PA Practitioner - Family Practice 6709145147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pentahealth, LLCGroup PAC ID 9537586672, 67 clinicians

Practice addresses (Care Compare)

142 Wallace Ave
201 Gateway Medical Associate PC
Downingtown, PA 19335-2643
Phone (610) 873-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461328PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pentahealth, LLC Family Medicine CurrentSince Jul 11, 2022 Accepting new patients

Locations

142 Wallace Ave
Ste 201
Downingtown, PA 19335
Phone (610) 269-7656

412 Creamery Way
Ste 400
Exton, PA 19341
Phone (610) 269-9448

Interoperability endpoints

  • Direct secure messaging: neerajaperi@gmacc.allscriptsdirect.net

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 8

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1750795811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203590",
            "telephone_number": "610-380-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203590",
            "telephone_number": "610-380-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERI",
        "first_name": "NEERAJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD461328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103402747-0004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.