Active NPI
Malcolm O Perry III, M.D.
- Urology Physician
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- J1476
- Practice address
- 950 W Bethany Dr Ste 360
Allen, TX 75013-3837 - Phone
- (469) 854-6116
- NPI assigned
- Aug 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | J1476 | TX | Primary |
Addresses
Primary practice location
950 W Bethany Dr Ste 360
Allen, TX 75013-3837
Mailing address
950 W Bethany Dr Ste 360
Allen, TX 75013-3837
Phone (469) 854-6116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035007601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- JS Weill Medical College, Cornell University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1111 Raintree Cir
Suite 240
Allen, TX 75013-4902
Phone (469) 854-6116
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malcolm O Perry III MD PA | Urology | Current | Accepting new patients |
Locations
950 W Bethany Dr
Ste 360
Allen, TX 75013
Phone (469) 854-6116
1111 Raintree Cir
Ste 240
Allen, TX 75013
Phone (214) 644-0280
1101 Raintree Cir
Ste 230
Allen, TX 75013
Phone (469) 854-6116
Organizations & group practices 1
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.
-
- Urology Physician
- Allen, TX
- NPI 1326286279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1922111541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 W BETHANY DR STE 360",
"city": "ALLEN",
"state": "TX",
"postal_code": "750133837",
"telephone_number": "469-854-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W BETHANY DR STE 360",
"city": "ALLEN",
"state": "TX",
"postal_code": "750133837",
"telephone_number": "469-854-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MALCOLM",
"middle_name": "O",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "J1476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035007601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.