Individual provider Active NPI

Steven Lewis Perlow, M.D.

  • Urology Physician
  • Suwanee, GA
National Provider Identifier
1972635811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
029750 Issued in GA
Practice address
4060 Johns Creek Pkwy
Building #F
Suwanee, GA 30024-1254
Phone
(770) 604-3901
Fax
(770) 604-9316
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 029750 GA Primary

Addresses

Primary practice location

4060 Johns Creek Pkwy
Building #F
Suwanee, GA 30024-1254

Mailing address

PO Box 920489
Norcross, GA 30010-0489
Phone (770) 604-9301

Other identifiers 1

IdentifierTypeStateIssuer
023529OtherGABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20111219000756 GA Practitioner - Urology 7113192279 Practice locations: Suwanee, GA

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4060 Johns Creek Pkwy
Suite F
Suwanee, GA 30024-1230
Phone (770) 604-9301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Regional Urology PC Urology Past Accepting new patients
Perlow Facility, LLC Past Accepting new patients
Robert Douglas Clayton, MD. PC. Past Accepting new patients

Organizations & group practices 3

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972635811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920489",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300100489",
            "telephone_number": "770-604-9301",
            "fax_number": "770-604-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 JOHNS CREEK PKWY",
            "address_2": "BUILDING #F",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241254",
            "telephone_number": "770-604-3901",
            "fax_number": "770-604-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLOW",
        "first_name": "STEVEN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "029750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "023529",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.