Active NPI
Calin Pernes, M.D.
- Emergency Medicine Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME87373
- Practice address
- 801 S Douglas Rd
Pembroke Pines, FL 33025-1355 - Phone
- (954) 985-1470
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20030 | MS | |
| Emergency Medicine Physician | 207P00000X | ME87373 | FL | Primary |
Addresses
Primary practice location
801 S Douglas Rd
Pembroke Pines, FL 33025-1355
Mailing address
3901 S Ocean Dr
Apt C6A
Hollywood, FL 33019-3016
Other practice location 1
415 S 28th Ave
Hattiesburg, MS 39401-7283
Phone (601) 261-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05875261 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cpernes15122@directpatientrecord.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Hospital & facility affiliations
- Forrest General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87373 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of Hattiesburg LLC | Emergency Medicine | Current | Accepting new patients |
| Belle Glade Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Grandiflora Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Team Physicians of Arizona PC | Emergency Medicine | Past | Accepting new patients |
| Inphynet South Broward LLC | Emergency Medicine | Past | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1609409440
-
- Multi-Specialty Clinic/Center
- Hattiesburg, MS
- NPI 1740213446
-
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
- Emergency Medicine Physician
- Belle Glade, FL
- NPI 1083631774
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
-
- Emergency Medicine Physician
- Biloxi, MS
- NPI 1659320745
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1710915764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1992748768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 S OCEAN DR",
"address_2": "APT C6A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330193016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S DOUGLAS RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251355",
"telephone_number": "954-985-1470"
}
],
"practiceLocations": [
{
"address_1": "415 S 28th Ave",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394017283",
"country_code": "US",
"telephone_number": "601-261-3737",
"fax_number": "601-261-3899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERNES",
"first_name": "CALIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "20030",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME87373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05875261",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cpernes15122@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "415 S 28th Ave",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394017283",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.