Active NPI
Thomas D Perry, MD
- Cardiovascular Disease Physician
- Phoenix, AZ
National Provider Identifier
1821080300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 14450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286220 | Medicaid | AZ |
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 |
|---|---|---|---|
| 14450 | AZ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New 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
- thomas.perry.1@5919.direct.athenahealth.com
- 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.
-
dba Abrazo West Campus
- Cardiovascular Disease Physician
- Goodyear, AZ
- NPI 1013100692
-
dba Abrazo Maryvale Campus
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1235322819
-
- Cardiac Rehabilitation Registered Nurse
- Glendale, AZ
- NPI 1578396982
-
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1679608095
-
- Neurology Physician
- Phoenix, AZ
- NPI 1245876705
-
- Family Medicine Physician
- Payson, AZ
- NPI 1740459700
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
Internal Medicine
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.