Organization Active NPI

Gerald K Perelman DPM

  • Podiatrist
  • Wilmington, OH
National Provider Identifier
1982048633
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002858 Issued in OH
Legal business name
GERALD K PERELMAN DPM
Practice address
1435 Rombach Ave
Wilmington, OH 45177-1991
Phone
(937) 382-2347
Fax
(937) 383-1936
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Gerald K Perelman, DPMNPI 1417950247
Title
DPM/Owner
Phone
(937) 382-2347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36002858 OH Primary

Addresses

Primary practice location

1435 Rombach Ave
Wilmington, OH 45177-1991

Mailing address

6200 Pleasant Ave
Suite 3
Fairfield, OH 45014-4670
Phone (513) 829-9333

Other identifiers 1

IdentifierTypeStateIssuer
0083006MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131025001374 OH Part B Supplier - Clinic/Group Practice 1557596657 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH; Fairfield Township, OH; Hamilton, OH; Lebanon, OH; Loveland, OH; Springboro, OH; Wilmington, OH

National Provider Directory

National Provider Directory

Locations

7565 Kenwood Rd
Cincinnati, OH 45236
Phone (513) 791-4764

1073 Oregonia Rd
Ste A
Lebanon, OH 45036
Phone (513) 695-1560

1435 Rombach Ave
Wilmington, OH 45177
Phone (937) 382-2347

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1982048633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PLEASANT AVE",
            "address_2": "SUITE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144670",
            "telephone_number": "513-829-9333",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451771991",
            "telephone_number": "937-382-2347",
            "fax_number": "937-383-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD K PERELMAN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "PERELMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "937-382-2347",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.