Individual provider Active NPI

Allison Leigh Perrin, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1992929624
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25790 Issued in AZ
Practice address
901 E Willetta St
Phoenix, AZ 85006-2727
Phone
(602) 839-6900
Fax
(602) 839-6906
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25790 AZ
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 25790 AZ
Internal Medicine Physician 207R00000X 25790 AZ Primary

Addresses

Primary practice location

901 E Willetta St
Phoenix, AZ 85006-2727

Mailing address

901 E Willetta St
Phoenix, AZ 85006-2727
Phone (602) 839-6900

Other identifiers 1

IdentifierTypeStateIssuer
AZ0887750OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20081120000060 AZ Practitioner - Geriatric MedicinePractitioner - Other (Physician)Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 2264401389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Hospice/Palliative Care, Internal Medicine
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Alzheimers InstituteGroup PAC ID 8527070101, 30 clinicians

Practice addresses (Care Compare)

901 E Willetta St
1St Floor
Phoenix, AZ 85006-2727
Phone (602) 839-6901

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
71.03
Promoting interoperability
99
Improvement activities
40
Cost
80.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25790AZMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Alzheimer'S Institute CurrentSince Nov 25, 2013 Accepting new patients
Banner Alzheimer'S Institute CurrentSince Nov 25, 2013 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Crescent Chiropractic PC PastSince Aug 1, 2015 Accepting new patients
Seasons Hospice & Palliative Care of Arizona, LLC PastSince May 28, 2021 Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Med 97 LLC Past Accepting new patients

Locations

901 E Willetta St
Fl 1
Phoenix, AZ 85006
Phone (602) 839-6901

901 E Willetta St
Phoenix, AZ 85006
Phone (602) 839-6900

901 E Willetta St
Fl 3
Phoenix, AZ 85006
Phone (602) 239-6900

10515 W Santa Fe Dr
Bldg B
Sun City, AZ 85351
Phone (623) 832-6500

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.

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1992929624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062727",
            "telephone_number": "602-839-6900",
            "fax_number": "602-839-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062727",
            "telephone_number": "602-839-6900",
            "fax_number": "602-839-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "ALLISON",
        "middle_name": "LEIGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "25790",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "25790",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0887750",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.