Active NPI
Frank B Perillo, DPM
- Podiatrist
- Buffalo, NY
National Provider Identifier
1891860128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- NY002894
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUE CROSS | Other | NY | 000508117001 |
| UNITED HEALTHCARE | Other | NY | 2700260 |
| FIDELIS | Other | NY | 040426000209 |
| 161304145 | Other | NY | TAX ID |
| BLUE CROSS DME | Other | NY | 000508117004 |
| C10060 | Other | NY | RAILROAD MEDICARE GROUP # |
| INDEPENDENT HEALTH | Other | NY | 8990091 |
| 480003114 | Other | NY | RAILROAD MEDICARE PROVIDER # |
| 00668997 | Medicaid | NY | |
| GHI | Other | NY | 6008087 |
| UNIVERA | Other | NY | 00010256201 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NY002894 | NY | MD | Podiatrist |
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.