Michael Edward Perraut (NPI# 1013042209, PAC ID# 9436244639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1013042209 |
| PAC ID by PECOS | 9436244639 |
| Professional Enrollment ID | I20090324000341 |
| Full Name | Michael Edward Perraut |
| Organization Legal Name | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| Address |
22590 Shady Ct California MD 20619-5009 |
| Phone Number | 3013737900 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355667056 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 22590 Shady Ct, California, MD 20619-5009 | 3013737900 | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| 15521 Real Estate Ave, Suite 206, King George, VA 22485-5328 | 5402892273 | CENTERCARE FAMILY PRACTICE LLC |
| 15521 Real Estate Ave, Suite 206, King George, VA 22485-5328 | PEDSPLUS URGENT CARE LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis A Velazquez | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group-southern Maryland LLC | 130 Hospital Rd, Suite 300, Prince Frederick, MD 20678-4057 |
| Moenil Patel | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Lukasz R Kiljanek | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 3581 Old Washington Rd, Suite D, Waldorf, MD 20602-3270 |
| Syed K Hussaini | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 28030 Old Village Rd, Mechanicsville, MD 20659-4288 |
| Sailaja C Nandipati | Rheumatology | Medstar Medical Group-southern Maryland LLC | 3500 Old Washington Rd, 102 Medstar Shah Waldorf Cancer Center, Waldorf, MD 20602-3205 |
| Adele A Fields | Diagnostic Radiology | Medstar Medical Group-southern Maryland LLC | 24035 Three Notch Rd, Hollywood, MD 20636-4871 |
| George B Bren | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151 |
| Paul B Berez | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 2200 Defense Hwy 100, Crofton, MD 21114-2458 |
| John C Patterson | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 7501 Surratts Rd, Suite 201a, Clinton, MD 20735-3362 |
| Basirmohmad F Kolia | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Street Address |
22590 SHADY CT |
| City | CALIFORNIA |
| State | MD |
| Zip | 20619-5009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scaria Mathew | Family Medicine | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| John Harvey | Vascular Surgery | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| Maunank M Patel | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| Mary Pride | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| Mary C Magill | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| Amish V Shah | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| Naomi R Constantine | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| Gurdeep S Chhabra | Hematology/oncology | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| Mark William Mozingo | Physician Assistant | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| Dawn M Drury | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 22590 Shady Ct, California, MD 20619-5009 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmoly T Sanders | Optometry | Myeyedr Optometry of Maryland LLC | 23105 Three Notch Rd, Suite A, California, MD 20619-2417 |
| Nadia K Hopper | Physical Therapy | Gateau Physical Therapy | 23123 Camden Way, California, MD 20619-2447 |
| Meghan J Okoniewski | Physical Therapy | Gateau Physical Therapy | 23123 Camden Way, California, MD 20619-2447 |
| Colleen M Stow | Physical Therapy | Gateau Physical Therapy | 23123 Camden Way, California, MD 20619-2447 |
| Erin Mccarthy | Occupational Therapy | Personalized Therapy, LLC | 22593 Three Notch Rd, California, MD 20619-3054 |
| Susan Barry | Qualified Speech Language Pathologist | Personalized Therapy, LLC | 22593 Three Notch Rd, California, MD 20619-3054 |
| Samantha Yeatman | Occupational Therapy | Personalized Therapy, LLC | 22593 Three Notch Rd, California, MD 20619-3054 |
| Allison Mari Debroisse | Physical Therapy | Personalized Therapy, LLC | 22593 Three Notch Rd, California, MD 20619-3054 |
| Mindi Stavish | Qualified Speech Language Pathologist | Personalized Therapy, LLC | 22593 Three Notch Rd, California, MD 20619-3054 |
| Kelly Barefoot | Occupational Therapy | Personalized Therapy, LLC | 22593 Three Notch Rd, California, MD 20619-3054 |
| Find all physicians in zip 20619 | |||
| City | CALIFORNIA |
| Zip Code | 20619 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CALIFORNIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael Edward Perraut.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.