Individual provider Active NPI

Thomas D Perry, MD

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1821080300
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14450 Issued in AZ
Practice address
8410 W Thomas Rd
Suite 116
Phoenix, AZ 85037-3329
Phone
(623) 748-9331
Fax
(623) 748-3042
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14450 AZ
Cardiovascular Disease Physician 207RC0000X 14450 AZ Primary

Addresses

Primary practice location

8410 W Thomas Rd
Suite 116
Phoenix, AZ 85037-3329

Mailing address

5251 W Campbell Ave
Suite 206
Phoenix, AZ 85031-1715
Phone (623) 748-9331

Other identifiers 1

IdentifierTypeStateIssuer
286220MedicaidAZ

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

LicenseStateTypeSpecialty
14450AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development of West Phoenix, Inc. Cardiovascular Disease Past Accepting new patients
Privia Medical Group Arizona, LLC Internal Medicine Past Accepting new patients
Phoenix Heart, PLLC Cardiovascular Disease Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Hospital Development of West Phoenix Inc Cardiovascular Disease Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Phoenix Heart, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.perry.1@5919.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1821080300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE",
            "address_2": "SUITE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311715",
            "telephone_number": "623-748-9331",
            "fax_number": "623-748-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 W THOMAS RD",
            "address_2": "SUITE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373329",
            "telephone_number": "623-748-9331",
            "fax_number": "623-748-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "14450",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "14450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286220",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.