Individual provider Active NPI

Mayrim V. Rios Perez, MD

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1003106287
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
S6923 Issued in TX
Practice address
902 Frostwood Dr Ste 265
Houston, TX 77024-2422
Phone
(713) 785-5007
Fax
(713) 785-8877
NPI assigned
Apr 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 021333 PR
Surgery Physician 208600000X S6923 TX Primary

Addresses

Primary practice location

902 Frostwood Dr Ste 265
Houston, TX 77024-2422

Mailing address

902 Frostwood Dr Ste 265
Houston, TX 77024-2422
Phone (713) 785-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201218000372 TX Practitioner - General Surgery 5294147112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

902 Frostwood Dr
Suite 265
Houston, TX 77024-2422
Phone (713) 785-5007

Hospital & facility affiliations

  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021333PRMDSurgery Physician
S6923TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial City Surgical, PLLC Surgery CurrentSince Aug 22, 2023 Accepting new patients

Locations

902 Frostwood Dr
Ste 265
Houston, TX 77024
Phone (713) 785-5007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1003106287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242422",
            "telephone_number": "713-785-5007",
            "fax_number": "713-785-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242422",
            "telephone_number": "713-785-5007",
            "fax_number": "713-785-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS PEREZ",
        "first_name": "MAYRIM",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-09",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "021333",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "S6923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.