Active NPI
Vinayak Sheshrao Perake, MBBS, MD
- Orthopaedic Surgery Physician
- Birmingham, AL
National Provider Identifier
1811284839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- L.3452R
- Practice address
- 1201 11TH Ave S
Birmingham, AL 35205-3410 - Phone
- (205) 930-7100
- NPI assigned
- Jun 29, 2011
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | L.3452R | AL | Primary |
Addresses
Primary practice location
1201 11TH Ave S
Birmingham, AL 35205-3410
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051119288 | Other | AL | BCBS |
| Z19098 | Other | AL | VIVA |
| 130909 | Medicaid | AL | |
| 130907 | Medicaid | AL | |
| 130904 | Medicaid | AL | |
| 051119285 | Other | AL | BCBS |
| 09305794 | Medicaid | MS | |
| 051119287 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952
Hospital & facility affiliations
- Elmhurst Hospital Center
- Queens Hospital Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.3452R | AL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Orthopaedic Surgery | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
-
- General Acute Care Hospital
- Jamaica, NY
- NPI 1801803903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1811284839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 11TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352053410",
"telephone_number": "205-930-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAKE",
"first_name": "VINAYAK",
"middle_name": "SHESHRAO",
"credential": "MBBS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-29",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "L.3452R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051119288",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "Z19098",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130909",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130907",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130904",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051119285",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09305794",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051119287",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.