Naeem Pervaiz, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

11606 Issued in WV

Practice address

608 New Hope Rd
Suite 1
Princeton, WV 24740-2273

Phone

(304) 425-1522

Fax

(304) 487-9447

NPI assigned

Apr 21, 2006

Last updated

Jul 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Naeem Pervaiz, M.D., P.C.

  • Urology Physician
  • Princeton, WV
  • NPI 1184757163
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1952367666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NEW HOPE RD",
            "address_2": "SUITE 1",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402273",
            "telephone_number": "304-425-1522",
            "fax_number": "304-487-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NEW HOPE RD",
            "address_2": "SUITE 1",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402273",
            "telephone_number": "304-425-1522",
            "fax_number": "304-487-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVAIZ",
        "first_name": "NAEEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "11606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001720055",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130715000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Perkins
• Tammy Perkins
• Alexis Perry
• Samantha Perry
• Lori Lee Persinger-Lovern, PT, OCS
• Jana Michelle Peters, DO
• Phillip Allen Peterson, MD
• Leah D Petrunger, PA-C
• Aaron Zane Pettrey
• Jennifer Pettry, DSP

• Urology Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Urology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.

Verify at the official NPI Registry.