Individual provider Active NPI

Ernest Manuel Perea, M.D.

  • Family Medicine Physician
  • Coralville, IA
National Provider Identifier
1033171004
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33079 Issued in IA
Practice address
2769 Heartland Dr
Suite 205
Coralville, IA 52241-2732
Phone
(319) 339-3921
Fax
(319) 688-7372
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33079 IA Primary

Addresses

Primary practice location

2769 Heartland Dr
Suite 205
Coralville, IA 52241-2732

Mailing address

PO Box 2027
Iowa City, IA 52244-2027
Phone (319) 688-7376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20040805001165 IA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Other (Physician) 7416928932 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Jul 31, 2007 Accepting new patients
Broadlawns Medical Center CurrentSince Jul 31, 2007 Accepting new patients
The Finley Hospital Family Medicine Current Accepting new patients
The Finley Hospital CurrentSince Dec 30, 2009 Accepting new patients
Burgess Health Center Family Medicine Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients
Emcare Physician Providers Inc. Past Accepting new patients
Burgess Health Center Family Medicine Past Accepting new patients
Doctorsnow Doral LLC Past Accepting new patients
Wapello Emergency Group PC Past Accepting new patients

Locations

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1033171004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2027",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522442027",
            "telephone_number": "319-688-7376",
            "fax_number": "319-358-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DR",
            "address_2": "SUITE 205",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412732",
            "telephone_number": "319-339-3921",
            "fax_number": "319-688-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA",
        "first_name": "ERNEST",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "33079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.