Individual provider Active NPI

Mark L Perman, M.D.

  • Radiation Oncology Physician
  • Stuart, FL
National Provider Identifier
1912982802
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME59298 Issued in FL
Practice address
2107 SE Ocean Blvd
Stuart, FL 34996-3305
Phone
(772) 403-2390
Fax
(772) 403-2395
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FLME59298 FL
Radiation Oncology Physician 2085R0001X ME59298 FL Primary

Addresses

Primary practice location

2107 SE Ocean Blvd
Stuart, FL 34996-3305

Mailing address

2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 10

IdentifierTypeStateIssuer
11781OtherFLBCBS
278876OtherFLAVMED
4335023OtherFLAETNA
11781OtherFLBLUE CROSS BLUE SHIELD
1613633OtherFLCIGNA
P01572583OtherFLRR MEDICARE
1249231OtherFLWELLCARE
374538400MedicaidFL
P106954OtherFLFREEDOM
P938826OtherFLOPTIMUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000550 FL Practitioner - Radiation Oncology 5395728950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical University of South Carolina College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202

2107 SE Ocean Blvd
Stuart, FL 34996-3305
Phone (772) 403-2390

3343 S State Rd
Suite 7
Wellington, FL 33449-8082
Phone (561) 795-9845

5550 S US Hwy 1
Fort Pierce, FL 34982-8701
Phone (772) 293-0377

730 Goodlette Rd
Suite 201
Naples, FL 34102-5618
Phone (239) 263-4499

931 37TH PL
Vero Beach, FL 32960-6563
Phone (772) 774-4182

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FLME59298FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Radiation Oncology CurrentSince Dec 5, 2015 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Dec 5, 2015 Accepting new patients
North Florida Radiation Oncology LLC Radiation Oncology Past Accepting new patients
North Florida Cancer Institute PA Specialist PastSince Dec 13, 2022 Accepting new patients
Oncology Hematology Radiation Care LLC Radiation Oncology Past Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
North Florida Radiation Oncology Radiation Oncology Past Accepting new patients

Locations

2301 W Woolbright Rd
Boynton Beach, FL 33426
Phone (561) 737-2339

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

4848 Coconut Creek Pkwy
Ste 100
Coconut Creek, FL 33063
Phone (954) 379-4848

2160 Colonial Blvd
Fort Myers, FL 33907

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

5550 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 293-0377

225 Chimney Corner Ln
Ste 1011
Jupiter, FL 33458
Phone (561) 275-1820

7867 SW 88th St
Ste 105
Miami, FL 33156
Phone (305) 279-2900

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

3355 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 775-7075

4685 S Congress Ave
Palm Springs, FL 33461
Phone (561) 548-2662

2111 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-9130

2107 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 403-2390

931 37th Pl
Vero Beach, FL 32960
Phone (772) 403-2390

3343 S State Road 7
Wellington, FL 33449
Phone (561) 795-8945

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mperman@sfrollc.direct.varian.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1912982802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963305",
            "telephone_number": "772-403-2390",
            "fax_number": "772-403-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERMAN",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "FLME59298",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME59298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11781",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "278876",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4335023",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "11781",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1613633",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01572583",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1249231",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374538400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM",
            "identifier": "P106954",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P938826",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.