JACK B PERLMUTTER M.D. NPI 1578559019

NPI Information

  • NPI: 1578559019
  • Provider Name: JACK B PERLMUTTER, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22285 N PEPPER RD STE 105
    LAKE BARRINGTON, IL
    ZIP 60010
  • Phone: (847) 277-9100

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NPI Details

Jack B Perlmutter, M.D. is a specialist in Lake Barrington, IL with 45 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jack B Perlmutter, M.D. NPI is 1578559019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1980

The provider's business location address is:

22285 N PEPPER RD STE 105
LAKE BARRINGTON, IL
ZIP 60010-539
Phone: (847) 277-9100
Fax: (847) 277-9110

The NPI 1578559019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Laser destruction of incompetent vein of arm or leg using imaging guidance (HCPCS:36478)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of chemical agent into single incompetent vein (HCPCS:36470)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 9/20/2005 and was last updated on 8/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist036.070720ILLINOISYes
2207X00000XOrthopaedic Surgery036070720ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036070720MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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