KENNETH PERRY PAS
NPI 1063031938
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
435 N 5TH ST, PHOENIX, AZ 85004(602) 827-2450 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth Perry Pas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH PERRY PAS (NPI 1063031938) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063031938
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNETH PERRYCredential: PAS
Location Address435 N 5TH STPhoenix, AZ 85004-2157
Mailing Address435 N 5th StPhoenix, AZ 85004-2157
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
NPI 1063031938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

435 N 5TH ST, Phoenix, AZ 85004

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth Perry Pas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729408661
PECOS Enrollment IDI20201015001080
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
435 N 5TH ST, NAU PA PROGRAM HSEB C615
PHOENIX, AZ 85004
Specialist/Technologist (Athletic Trainer)
435 N 5TH ST
PHOENIX, AZ 85004
Specialist/Technologist (Athletic Trainer)
435 N 5TH ST
PHOENIX, AZ 85004
Specialist/Technologist (Athletic Trainer)
435 N 5TH ST
PHOENIX, AZ 85004
Specialist/Technologist (Athletic Trainer)
435 N 5TH ST
PHOENIX, AZ 85004
Specialist/Technologist (Athletic Trainer)
435 N 5TH ST
PHOENIX, AZ 85004
Physician Assistant
435 N 5TH ST
PHOENIX, AZ 85004
Specialist/Technologist (Athletic Trainer)
435 N 5TH ST
PHOENIX, AZ 85004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Perry's NPI number?

The NPI number for Kenneth Perry is 1063031938. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Kenneth Perry located?

Kenneth Perry practices at 435 N 5th St, Phoenix, AZ 85004. The listed phone number is (602) 827-2450.

What is Kenneth Perry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenneth Perry enrolled in Medicare?

Yes. Kenneth Perry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Perry accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kenneth Perry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Perry was last updated on April 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.