Individual provider Active NPI

Maria Nichole Perez, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1013925874
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4309 Issued in TX
Practice address
3200 Red River St Ste 201
Austin, TX 78705-2655
Phone
(855) 841-8375
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TEMP TX
Internal Medicine Physician 207R00000X M4309 TX Primary

Addresses

Primary practice location

3200 Red River St Ste 201
Austin, TX 78705-2655

Mailing address

4616 W Howard LN
Austin, TX 78728-6300
Phone (512) 324-9650

Other practice location 1

500 N Capital Of Texas Hwy # 6
Austin, TX 78746-3302
Phone (855) 481-8375

Other identifiers 1

IdentifierTypeStateIssuer
182342904MedicaidTX

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
I20060912000303 TX Practitioner - Internal Medicine 2062416761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375

Hospital & facility affiliations

  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4309TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Medical Group Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients

Locations

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

2200 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 371-6398

3200 Red River St
Ste 201
Austin, TX 78705
Phone (512) 473-0201

500 N Capital of Texas Hwy
#6
Austin, TX 78746

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Networks

  • TX HMO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maria.perez.1@28292.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1013925874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 W HOWARD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286300",
            "telephone_number": "512-324-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RED RIVER ST STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052655",
            "telephone_number": "855-841-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Capital Of Texas Hwy # 6",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787463302",
            "country_code": "US",
            "telephone_number": "855-481-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIA",
        "middle_name": "NICHOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "TEMP",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182342904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.