Active NPI
Michael D Perilstein, MD
- Rheumatology Physician
- Pottstown, PA
National Provider Identifier
1790800092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD018220E
- Practice address
- 13 Armand Hammer Blvd
Suite 210
Pottstown, PA 19464-5067 - Phone
- (610) 327-2405
- Fax
- (610) 327-8765
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD018220E | PA | Primary |
Addresses
Primary practice location
13 Armand Hammer Blvd
Suite 210
Pottstown, PA 19464-5067
Mailing address
13 Armand Hammer Blvd
Suite 210
Pottstown, PA 19464-5067
Phone (610) 327-2405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD018220E | PA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1790800092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 ARMAND HAMMER BLVD",
"address_2": "SUITE 210",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194645067",
"telephone_number": "610-327-2405",
"fax_number": "610-327-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 ARMAND HAMMER BLVD",
"address_2": "SUITE 210",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194645067",
"telephone_number": "610-327-2405",
"fax_number": "610-327-8765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERILSTEIN",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": "MD018220E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.