Willy G Pereira, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0415565 Issued in KS

Practice address

6155 E Harry St
Wichita, KS 67218-3827

Phone

(316) 682-1754

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Robert Rex Lee

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1144266032
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1003834276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183827",
            "telephone_number": "316-682-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183827",
            "telephone_number": "316-682-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "WILLY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0415565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "057396",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leticia Peralta, MEDICAL ASSISTANT
• Sabine Marie Peraro
• Percolating Sunshine Center for Change, LLC
• Nayeli Pereda, RN
• Jamie Peregrine, MD
• Elizabeth Perez-Elmore, RN BSN
• Anne Kathryn Perez, SLP
• Erica J Perez, CRNA
• Julie Eileen Perez, LBSW, MSW
• Lorena Perez, FNP-C

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.