Jeremy Perse, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36-003674 Issued in OH

Practice address

10553 Saint Clair Ave
Cleveland, OH 44108-1973

Phone

(216) 682-7702

Fax

(216) 920-6273

NPI assigned

Aug 2, 2012

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stafford Services, Inc.Group PAC ID 4486678901, 28 clinicians

David Perse MD LLCGroup PAC ID 3577989482, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regency Hospital of Cleveland East Long-term care hospital, Warrensville HTS, OH, CCN 362029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stafford Services, Inc.

  • Family Nurse Practitioner
  • Parma, OH
  • NPI 1679542021
  Medicare reassignment Care Compare group NPD
• David Perse MD, LLC

  • Surgery Physician
  • Cleveland, OH
  • NPI 1982212593
  Medicare reassignment Care Compare group
• Jeremy Perse, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, OH
  • NPI 1659989275
  Medicare reassignment Authorized official
• Outreach Professional Services Inc

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1134119829
  NPD
• Outreach Professional Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1104371640
  NPD

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

• Regency Hospital of North Central Ohio, LLC

  • Long Term Care Hospital
  • Warrensville Heights, OH
  • NPI 1790846707

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1811243397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-363-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10553 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081973",
            "telephone_number": "216-682-7702",
            "fax_number": "216-920-6273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Franklin Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441132831",
            "country_code": "US",
            "telephone_number": "216-363-7733",
            "fax_number": "216-631-7055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153111",
            "country_code": "US",
            "telephone_number": "216-363-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSE",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-003674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085043",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directperse@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2351 E 22nd St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tikesha Perryman, MSN, APRN, FNP-C
• Tanasha Perrymond, LPN
• Purnadeo Narpaul Persaud
• Sarah Persaud
• David Perse, MD
• Ethan Richard Persinger
• Ian Persits, DO
• James Michael Persky, M.D.
• Personal Guardian Home Care LLC
• Personal Leasing Transportation Co.

• Foot & Ankle Surgery Podiatrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.