Active NPI
Richard Perry, M.D.
- Internal Medicine Physician
- Kennebunk, ME
National Provider Identifier
1932164878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 015363
- Practice address
- 72 Main St
Kennebunk, ME 04043-7021 - Phone
- (207) 467-8909
- Fax
- (207) 467-8910
- NPI assigned
- Apr 20, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 015363 | ME | Primary |
Addresses
Primary practice location
72 Main St
Kennebunk, ME 04043-7021
Mailing address
PO Box 7402
Suite 201
Cape Porpoise, ME 04014-7402
Phone (207) 468-4213
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038776 | Other | ME | ANTHEM |
| 2365188 | Other | ME | AETNA |
| M183508 | Other | ME | CIGNA |
| MN3868 | Other | ME | HARVARD PILGRIM |
| 308430099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160523001210 | ME | Order and Referring Only - Internal Medicine | 1557393899 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare Physician Associates | Internal Medicine | Past | Accepting new patients |
| Mainehealth | Past | Accepting new patients |
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.
-
dba MaineHealth Pharmacy Maine Medical Center Biddeford
- General Acute Care Hospital
- Biddeford, ME
- NPI 1659392819
-
- Family Medicine Physician
- Biddeford, ME
- NPI 1831150911
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1932164878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7402",
"address_2": "SUITE 201",
"city": "CAPE PORPOISE",
"state": "ME",
"postal_code": "040147402",
"telephone_number": "207-468-4213",
"fax_number": "207-468-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 MAIN ST",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040437021",
"telephone_number": "207-467-8909",
"fax_number": "207-467-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "015363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "038776",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2365188",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M183508",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "MN3868",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308430099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.