Mohammed O Peracha, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036123530 Issued in IL

Practice address

1700 E West Rd
Calumet City, IL 60409-5415

Phone

(708) 891-3330

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

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 2

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Malik Eye Institute LLCGroup PAC ID 2668470980, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mperacha@esor.intellechartdirect.net

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.

• Malik Eye Institute, L.L.C.

  • Ophthalmology Physician
  • Rockford, IL
  • NPI 1902906803
  Medicare reassignment Care Compare group NPD
• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790
  Medicare reassignment Care Compare group NPD
• Midwest Retina Consultants, S.C.

  • Retina Specialist (Ophthalmology) Physician
  • Des Plaines, IL
  • NPI 1871545681
  Medicare reassignment NPD
• Malik Eye Institute LLC

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1407281009

  Ophthalmology

  NPD
• Indiana University Eye Care Inc.

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1548261894
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1982606950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E WEST RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095415",
            "telephone_number": "708-891-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E WEST RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095415",
            "telephone_number": "708-891-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERACHA",
        "first_name": "MOHAMMED",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01059313A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "45488",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IA",
            "license": "45488",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036123530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423140",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036123530",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce A Parisi, M.D.
• Julia Paxton
• Stephanie Pazmino, LPC
• Peachykingtransportation
• Vernetta Roche Peoples, OTR/L
• Theisha Y Perkins, MD
• PG Health Services Inc
• Keona Philemy
• Pierson Medical Group Inc
• Pinakinprasad Dave, MD, SC

• Ophthalmology Physician in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.