Individual ProviderRobert PeroutkaOrthopaedic SurgeryAllopathic & Osteopathic PhysiciansPractice Address2401 W Belvedere Ave, Baltimore, MD 21215-5216(410) 601-8500(410) 601-0975PECOS EnrollmentBased on the most recent information from CMS, provider Robert Peroutka is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1295702322Provider TypeIndividualFull NamePeroutka, RobertTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/8/2006Last Updated5/13/2019Contact InformationPractice LocationPractice Address2401 W Belvedere Ave, Baltimore, MD 21215-5216Phone(410) 601-8500Fax(410) 601-8501Mailing LocationMailing Address2401 W Belvedere Ave, Baltimore, MD 21215-5216Phone(410) 601-0975FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207X00000XPrimaryDescriptionOrthopaedic SurgeryAllopathic & Osteopathic PhysiciansLicenseD0035089Maryland