DOMINIC A. PERROTTA MD NPI 1952389637

Emergency Medicine in Ypsilanti, MI

NPI 1952389637 Individual Male Years of Experience 22 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About DOMINIC PERROTTA

Dominic Perrotta is a provider established in Ypsilanti, Michigan and his medical specialization is emergency medicine with more than 22 years of experience. He graduated from University Of Michigan Medical School in 2000. The NPI number of Dominic Perrotta is 1952389637 and was assigned on January 2006. The practitioner's primary taxonomy code is 207P00000X with license number 15083R (LA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Dominic Perrotta is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Dominic Perrotta is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with St Joseph Mercy Hospital and Saint Joseph Mercy Livingston Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: implementation of an asp, implementation of formal quality improvement methods, practice changes, or other practice improvement processes, measurement and improvement at the practice and panel level and participation in an ahrq-listed patient safety organization.. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1952389637

Provider Name DOMINIC A. PERROTTA MD
Provider Location Address5301 E HURON RIVER DR YPSILANTI, MI 48197
Provider Mailing Address5301 E HURON RIVER DR YPSILANTI, MI 48197
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-04-2006
Last Update Date11-05-2007


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.15083R
License StateLA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DOMINIC A. PERROTTA MD
5301 E HURON RIVER DR
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-3001
Fax: (734) 712-7388

Get Directions


Mailing Address

DOMINIC A. PERROTTA MD
5301 E HURON RIVER DR
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-3001
Fax: (734) 712-7388



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5193749000
PECOS Enrollment IDI20070927000377
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dominic Perrotta is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST JOSEPH MERCY HOSPITAL5301 E HURON RIVER DR
ANN ARBOR, MI 48106
(734) 712-3456Acute Care Hospitals230156
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL620 BYRON RD
HOWELL, MI 48843
(517) 545-6000Acute Care Hospitals230069

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H94086MEDICARE UPIN (02)
4F439MEDICARE ID-TYPE UNSPECIFIED (04)
1551236MEDICAID (05)LA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497750590MRS. KATHRYN L EISENBERG M.S.N.,A.P.R.N-B.C.
Individual
Licensed Practical Nurse5301 E HURON RIVER DR STE C139
YPSILANTI, MI 48197
(734) 712-1000
1710982533DR. CHRISTOPHER M REYNOLDS MD
Individual
Internal Medicine (Hematology & Oncology)5301 E HURON RIVER DR SUITE C139
YPSILANTI, MI 48197
(734) 712-1000
1174528921DR. ANDREW C EISENBERG M.D.
Individual
Internal Medicine (Hematology & Oncology)5301 E HURON RIVER DR STE C139
YPSILANTI, MI 48197
(734) 712-1000
1780680637SELECT SPECIALTY HOSPITAL - ANN ARBOR INC
Organization
Long Term Care Hospital5301 E HURON RIVER DR 7TH FLOOR
YPSILANTI, MI 48197
(734) 712-0111
1932106481 ANGELO SO ANTARAN PA
Individual
Physician Assistant (Surgical)5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-5609
1811982689 JEROME D WINEGARDEN M.D.
Individual
Internal Medicine (Hematology & Oncology)5301 E HURON RIVER DR STE C139
YPSILANTI, MI 48197
(734) 712-1000
1710965165 CAROL KOLESAR NP
Individual
Nurse Practitioner5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-6573
1497735351DR. ERROL I SOSKOLNE M.D.
Individual
Pediatrics5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3325
1790758654DR. NIKLAS JOAKIM MACKLER M.D.
Individual
Internal Medicine (Hematology & Oncology)5301 E HURON RIVER DR CANCER CARE BUILDING
YPSILANTI, MI 48197
(734) 712-1000
1598733156 PAUL VALENSTEIN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)5301 E HURON RIVER DR PATHOLOGY - ST JOSEPH MERCY HOSPITAL
YPSILANTI, MI 48197
(734) 712-2832
1205805611 MICHAEL FLEMING
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 714-4542
1427027986MRS. JOANNE MARY CAFARELLI CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1093774291DR. BRADLEY JUDGE M.D.
Individual
Pediatrics5301 E HURON RIVER DR DEPARTMENT OF PEDIATRICS
YPSILANTI, MI 48197
(734) 712-3325
1669431730MRS. B. MELANIE MCNICHOLAS CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1285693671MR. MARK ALLEN SCARBERRY C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1104886431MRS. LINDA MARIE MYERS CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1346200482 CAROL A JESSOP CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1891755609MR. DAVID WILLIAM GELBACH CRNA
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(743) 712-3840
1861452732MS. CAROL JEAN REBBECK C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840
1992765697MR. EDMOND JOSEPH REYNOLDS C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered5301 E HURON RIVER DR
YPSILANTI, MI 48197
(734) 712-3840

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.