Individual provider Active NPI

Frank B Perillo, DPM

  • Podiatrist
  • Buffalo, NY
National Provider Identifier
1891860128
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NY002894 Issued in NY
Practice address
1431 Hertel Ave
Buffalo, NY 14216-2826
Phone
(716) 838-1131
Fax
(716) 838-1158
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NY002894 NY Primary

Addresses

Primary practice location

1431 Hertel Ave
Buffalo, NY 14216-2826

Mailing address

1431 Hertel Ave
Buffalo, NY 14216-2826
Phone (716) 838-1131

Other identifiers 11

IdentifierTypeStateIssuer
BLUE CROSSOtherNY000508117001
UNITED HEALTHCAREOtherNY2700260
FIDELISOtherNY040426000209
161304145OtherNYTAX ID
BLUE CROSS DMEOtherNY000508117004
C10060OtherNYRAILROAD MEDICARE GROUP #
INDEPENDENT HEALTHOtherNY8990091
480003114OtherNYRAILROAD MEDICARE PROVIDER #
00668997MedicaidNY
GHIOtherNY6008087
UNIVERAOtherNY00010256201

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

State licenses

LicenseStateTypeSpecialty
NY002894NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1891860128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162826",
            "telephone_number": "716-838-1131",
            "fax_number": "716-838-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162826",
            "telephone_number": "716-838-1131",
            "fax_number": "716-838-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILLO",
        "first_name": "FRANK",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NY002894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000508117001",
            "identifier": "BLUE CROSS",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2700260",
            "identifier": "UNITED HEALTHCARE",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "040426000209",
            "identifier": "FIDELIS",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "161304145",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000508117004",
            "identifier": "BLUE CROSS DME",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "C10060",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8990091",
            "identifier": "INDEPENDENT HEALTH",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER #",
            "identifier": "480003114",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00668997",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "6008087",
            "identifier": "GHI",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00010256201",
            "identifier": "UNIVERA",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.