SAMUEL PERNA – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1568541480
Hospice and Palliative Medicine (Family Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
14 OSTEOPATHIC MANIPULATIVE MEDICINE in AL
Provider Addresses for SAMUEL PERNA
1521 11th Ave S
Birmingham, AL 352053503
Phone: (205) 934-3411
Type: Location
1717 6TH AVE S
BIRMINGHAM, AL 352331801
Phone:
Type: Mailing
Cadbury, Bournville, Stirchley, Birmingham, West Midlands, England, B30 2LU, United Kingdom
BIRMINGHAM, AL 352555310
Phone: (205) 731-9701
Type: Mailing
Children's of Alabama, 1600, 7th Avenue South, Automotive Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States
BIRMINGHAM, AL 352331711
Phone: (205) 939-9100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080130000117 | I | Osteopathic Manipulative Medicine | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | TX | |
| - | AL | |
| A N E S T H E S I O L O G Y | AL | |
| E N D O C R I N O L O G Y | VA | |
| Nurse Practitioner | AL | |
| - | AL | |
| Hospitalist, Internal Medicine | AL | |
| Clinical Psychologist | AL | |
| Nurse Practitioner | AL | |
| - | AL |
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