Individual provider Active NPI

Robert Wayne Perry II, M.D.

  • Gynecology Physician
  • Rushville, IN
National Provider Identifier
1992787246
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
01041810A Issued in IN
Practice address
110 E 13TH St
Rushville, IN 46173-2126
Phone
(765) 932-7023
Fax
(765) 932-7024
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 44761 KY
Gynecology Physician 207VG0400X 01041810A IN Primary

Addresses

Primary practice location

110 E 13TH St
Rushville, IN 46173-2126

Mailing address

1300 N Main St
Rushville, IN 46173-1198
Phone (765) 932-4111

Other identifiers 3

IdentifierTypeStateIssuer
100381710BMedicaidIN
040770OtherINSIHO
0054872MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040820000331 IN Practitioner - Obstetrics/Gynecology 3577536762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians

Practice addresses (Care Compare)

110 E 13TH St
Rushville, IN 46173-2126
Phone (765) 932-7591

1300 N Main St
Rushville, IN 46173-1116
Phone (765) 932-4111

1310 N Main St
Rushville, IN 46173-1116
Phone (765) 932-7075

201 Conrad Harcourt Way
Suite a
Rushville, IN 46173-1157
Phone (765) 932-7591

323 Conrad Harcourt Way
Rushville, IN 46173-1161
Phone (765) 932-7081

Hospital & facility affiliations

  • Rush Memorial Hospital Hospital, Rushville, IN, CCN 151304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01041810AINMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Memorial Hospital CurrentSince Jan 24, 2022 Accepting new patients
Rush Memorial Hospital CurrentSince Jan 24, 2022 Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Obstetrics & Gynecology of Indiana, LLC Obstetrics & Gynecology Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

7695 S 175 W
Milroy, IN 46156
Phone (765) 629-2224

201 Harcourt Way
Ste A
Rushville, IN 46173
Phone (765) 932-7591

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

323 Conrad Harcourt Way
Rushville, IN 46173
Phone (765) 932-4441

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1992787246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731198",
            "telephone_number": "765-932-4111",
            "fax_number": "765-932-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 13TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461732126",
            "telephone_number": "765-932-7023",
            "fax_number": "765-932-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "44761",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01041810A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100381710B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "040770",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054872",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.