DONOVAN EDWARD PERRY – Podiatrist, NPI 1205577871

DONOVAN EDWARD PERRY is a healthcare provider. based in Deerfield beach, Florida. specializing in PODIATRY. They hold a License No. 016006105 (IL). The NPI Number for DONOVAN EDWARD PERRY is 1205577871

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DONOVAN EDWARD PERRY
NPI
1205577871
Phone
(815) 546-3054
Address
1130 RIO CT
Enumeration Date
6 April 2022
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
8476274924
Graduation Year
2022 (4 years ago)
PAC ID
2163936840
Group Practice PAC ID
4587655105
Professional Enrollment ID
I20250707000015
Address ID
IL600566019MO1660XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,448 PODIATRY in FL

Provider Addresses for DONOVAN EDWARD PERRY

  • 1130 RIO CT

    DEERFIELD BEACH, FL 330642070

    Phone: (815) 546-3054

    Type: Mailing

  • 8201 W BROWARD BLVD

    PLANTATION, FL 333242701

    Phone: (954) 635-6201

    Type: Location

  • PO BOX 848195

    LOS ANGELES, CA 900848195

    Phone: (847) 627-4920

    Fax: (224) 220-9345

    Type: Mailing

  • 1660 FEEHANVILLE DR STE 450

    MOUNT PROSPECT, IL 600566023

    Phone: (847) 750-4856

    Fax: (224) 220-9743

    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: 2025-07-07

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250707000015IPodiatryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33064)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587655105View full group profile

Reviews

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Frequently asked questions

Where can patients find DONOVAN EDWARD PERRY's NPI?
You can confirm DONOVAN EDWARD PERRY with NPI 1205577871; it appears in the national provider directory.
Is DONOVAN EDWARD PERRY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DONOVAN EDWARD PERRY's specialty in plain language?
Clinically, the directory lists DONOVAN EDWARD PERRY with Podiatrist. Clinical services aligned with this taxonomy classification.
Where is DONOVAN EDWARD PERRY's primary listing?
We display Deerfield Beach, Florida because that is what the record indicates for DONOVAN EDWARD PERRY.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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