Individual provider Active NPI

Joseph Frank Perno, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • St Petersburg, FL
National Provider Identifier
1790710614
Registry record updated Feb 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
ME88017 Issued in FL
Practice address
501 6TH Ave S
Dept 6941
St Petersburg, FL 33701-4634
Phone
(727) 767-8480
Fax
(727) 767-8420
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X ME88017 FL Primary

Addresses

Primary practice location

501 6TH Ave S
Dept 6941
St Petersburg, FL 33701-4634

Mailing address

501 6TH Ave S
Dept. 6941
St Petersburg, FL 33701-4634
Phone (727) 767-8480

Other identifiers 1

IdentifierTypeStateIssuer
267346100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240515000193 FL Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 4688901333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pediatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Physician Services, Inc.Group PAC ID 7113989849, 200 clinicians

Practice addresses (Care Compare)

601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88017FLMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physician Services, Inc. Current Accepting new patients
Pediatric Physician Services, Inc. Pediatric Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

885 S Parsons Ave
Brandon, FL 33511
Phone (813) 436-5900

4550 Colonial Blvd
Fort Myers, FL 33966
Phone (239) 931-5700

3310 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 802-6600

4443 Rowan Rd
New Port Richey, FL 34653
Phone (727) 846-9900

5881 Rand Blvd
Sarasota, FL 34238
Phone (727) 822-7344

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

880 6th Ave S
St Petersburg, FL 33701

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

501 6th Ave S
#6941
St Petersburg, FL 33701
Phone (727) 767-4429

12220 Bruce B Downs Blvd
Tampa, FL 33612
Phone (727) 892-4200

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700

Interoperability endpoints

  • Direct secure messaging: jperno615806@direct.hopkinsmedicine.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Johns Hopkins All Children'S Hospital, IncSt Petersburg, FL, CCN 103300 Hospital Corporate Officer Jan 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267228800000",
    "number": "1790710614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 6TH AVE S",
            "address_2": "DEPT. 6941",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014634",
            "telephone_number": "727-767-8480",
            "fax_number": "727-767-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 6TH AVE S",
            "address_2": "DEPT 6941",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014634",
            "telephone_number": "727-767-8480",
            "fax_number": "727-767-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNO",
        "first_name": "JOSEPH",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME88017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267346100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.