EKTA K PERERA (MD) – Allergy & Immunology (Internal Medicine) Physician, NPI 1083025902

EKTA K PERERA (MD) is a healthcare provider. based in New york, New York. specializing in ALLERGY/IMMUNOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. TL0007425 (CO). The NPI Number for EKTA K PERERA (MD) is 1083025902

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
EKTA K PERERA (MD)
NPI
1083025902
Phone
(212) 305-1544
Address
630 W 168TH ST # 4
Enumeration Date
13 May 2014
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8323257211
Graduation Year
2014 (12 years ago)
PAC ID
4385900166
Group Practice PAC ID
8426960360
Professional Enrollment ID
I20171110001112
Address ID
TX770305206HO6410XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:12State licenses:4Digital endpointsOther names

418 ALLERGY/IMMUNOLOGY in NY

Provider Addresses for EKTA K PERERA (MD)

  • 630 W 168TH ST # 4

    NEW YORK, NY 100323725

    Phone: (212) 305-1544

    Fax: (212) 342-1882

    Type: Mailing

  • 622 W 168TH ST PH 8

    NEW YORK, NY 100323720

    Phone: (212) 305-1544

    Fax: (212) 342-1882

    Type: Location

  • 622 W 168th St Ph 8

    New York, NY 100323720

    Phone: (212) 305-1544

    Fax: (212) 342-1882

    Type: Location

  • 1 Baylor Plz

    Houston, TX 770303411

    Phone: (713) 798-5588

    Type: Location

  • 1400 Jackson St # K624

    Denver, CO 80206

    Phone: (303) 270-2913

    Type: Location

  • 6410 FANNIN ST FL 6

    HOUSTON, TX 770303000

    Phone: (713) 500-6876

    Type: Location

  • 6410 FANNIN ST

    HOUSTON, TX 770303000

    Phone: (713) 500-6876

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $9,179.

Total Amount is formed as General ($9,179) + Research ($0) + Ownership ($0) = $9,179.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($6,133).

Total Amount

$9,179

General + Research + Ownership

Payments

81

Total payment records

General Amount

$9,179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-11-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171110001112IAllergy/ImmunologyTXTBD

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 10032)

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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: 8426960360View full group profile
NameSpecialtyState
Emergency MedicineIL
Anesthesiology, Critical Care (Intensivists)TX
A N E S T H E S I O L O G YTX
-TX
Diagnostic RadiologyTX
Physician AssistantTX
Certified Nurse Midwife (Cnm)TX
O T O L A R Y N G O L O G YTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for EKTA K PERERA (MD)?
EKTA K PERERA (MD) — NPI 1083025902 — is the standard way to identify this listing.
Does CMS list EKTA K PERERA (MD) as active?
Yes — EKTA K PERERA (MD) is active in the NPI listing used on this page.
What is EKTA K PERERA (MD)'s primary classification?
Allergy & Immunology (Internal Medicine) Physician is the headline specialty for EKTA K PERERA (MD) here. Clinical services aligned with this taxonomy classification.
Where is EKTA K PERERA (MD) based?
EKTA K PERERA (MD) is tied to New York, New York in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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