Individual provider Active NPI

Rocco Frank Perugini, DC

  • Chiropractor
  • Mukwonago, WI
National Provider Identifier
1922116177
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3852 Issued in WI
Practice address
435 Rivercrest CT
Mukwonago, WI 53149-1759
Phone
(262) 363-9552
Fax
(262) 363-9556
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3852 WI Primary

Addresses

Primary practice location

435 Rivercrest CT
Mukwonago, WI 53149-1759

Mailing address

435 Rivercrest Court
Mukwonago, WI 53149-1759
Phone (262) 363-9552

Other identifiers 1

IdentifierTypeStateIssuer
38972200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000736 WI Practitioner - Chiropractic 3577511674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

435 Rivercrest CT
Mukwonago, WI 53149-1759
Phone (262) 363-9552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3852WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perugini Chiropractic SC Chiropractor CurrentSince Nov 1, 2004 Accepting new patients
Spencer-Smith Chiropractic SC Chiropractor PastSince Feb 1, 2003 Accepting new patients

Locations

435 Rivercrest Ct
Mukwonago, WI 53149
Phone (262) 363-9552

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1922116177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 RIVERCREST COURT",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491759",
            "telephone_number": "262-363-9552",
            "fax_number": "262-363-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 RIVERCREST CT",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491759",
            "telephone_number": "262-363-9552",
            "fax_number": "262-363-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUGINI",
        "first_name": "ROCCO",
        "middle_name": "FRANK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38972200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.