Manuel Angel Peregrino, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

0101236369 Issued in VA

Practice address

102 Highland Ave SE
Carilion Roanoke Community Hospital Nicu
Roanoke, VA 24013-2256

Phone

(540) 985-9840

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mperegrino27708@direct.xtensys.com

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.

• Einstein Practice Plan Inc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment NPD
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433
  NPD
• Einstein Practice Plan Inc

  • Pediatrics Physician
  • Phila, PA
  • NPI 1730132028
  NPD
• Albert Einstein Medical Center

  • General Acute Care Hospital
  • Phila, PA
  • NPI 1902805245
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760445647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND AVE SE",
            "address_2": "CARILION ROANOKE COMMUNITY HOSPITAL NICU",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132256",
            "telephone_number": "540-985-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND AVE SE",
            "address_2": "CARILION ROANOKE COMMUNITY HOSPITAL NICU",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132256",
            "telephone_number": "540-985-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREGRINO",
        "first_name": "MANUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VA",
            "license": "0101236369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srivani Pentela
• Amber Perdue, CRNA
• Emily Perdue
• Haley Perdue
• Samantha Ann Perdue, NNP-BC
• Daniel Enrique Perez Osorio, DDS
• Antonio Perez III, M.D.
• Perfectt Touch
• Performance Healthcare, P.C.
• Courtney Lee Perkins, PT, DPT

• Neonatal-Perinatal Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Neonatal-Perinatal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.