DR. JOSEPH LIVIN PERRAS II M.D.
NPI 1194765768
Internal Medicine in Keene, NH

Active since June 08, 2006PECOS Enrolled
580 COURT ST, KEENE, NH 03431(603) 354-5400(603) 640-1228 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2025, Mar 10, 2021 (2 updates tracked since 2021).

About Dr. Joseph Livin Perras Ii M.d. NPPES

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

DR. JOSEPH LIVIN PERRAS II M.D. (NPI 1194765768) is an individual internal medicine provider in Keene, New Hampshire, licensed in New Hampshire (11742) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194765768
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSEPH LIVIN PERRAS IICredential: M.D.
Location Address580 COURT STKeene, NH 03431-1718
Mailing AddressPo Box 810Hanover, NH 03755-0810 · (603) 308-1453
Fax(603) 640-1228
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1194765768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NH · 11742
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
580 COURT ST, Keene, NH 03431

Secondary Practice Locations 2

Location 1289 County RdWindsor, VT 05089-9000 · Phone (802) 674-6711
Location 21 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000 · Fax (603) 640-1228

Other Identifiers 2

Medicaid1009111VT
Medicaid30203115NH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph Livin Perras Ii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Joseph Perras reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
590 COURT ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 450 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Advanced Practice Midwife
580 COURT ST
KEENE, NH 03431
Anesthesiology
580 COURT ST, DEPT OF ANESTHESIOLOGY
KEENE, NH 03431
Obstetrics & Gynecology
580 COURT ST
KEENE, NH 03431
Nurse Practitioner (Family)
580 COURT ST
KEENE, NH 03431
Internal Medicine
580 COURT ST
KEENE, NH 03431
Internal Medicine (Cardiovascular Disease)
580 COURT ST
KEENE, NH 03431
Radiology (Diagnostic Radiology)
580 COURT ST
KEENE, NH 03431
Physician Assistant
580 COURT ST
KEENE, NH 03431

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 Joseph Perras's NPI number?

The NPI number for Joseph Perras is 1194765768. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Joseph Perras located?

Joseph Perras practices at 580 Court St, Keene, NH 03431. The listed phone number is (603) 354-5400.

What is Joseph Perras's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Perras enrolled in Medicare?

Yes. Joseph Perras is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joseph Perras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Perras reassigns Medicare benefits to 3 organizations: Cheshire Medical Center (Keene, NH), Dartmouth-Hitchcock Clinic (Keene, NH) and Mary Hitchcock Memorial Hospital (Lebanon, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Perras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Perras accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Joseph Perras 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 Joseph Perras was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.