Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Joel E Perdomo, MD

Individual provider General Practice Physician · NPI 1003128463

Dr. Joel E Perdomo, MD is a General Practice in Slidell, Louisiana. Qualified in 2010, 16 years ago. Practices with E. M. Dimitri, DO Pmc, a 14-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
16
Licensed in
LA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2104 Gause Blvd W Suitea
Slidell, LA 70460-4130
Phone: (985) 643-4575
Fax: (985) 643-4513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 207966 (LA)

Record details

NPI number1003128463
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 13, 2010
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address2104 Gause Blvd W, Suitea, Slidell, LA 70460-4130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice E. M. Dimitri, D.O. Pmc. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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