Active NPI
Walter Hernan Perez, D.P.M.
- Podiatrist
- Brooklyn, NY
National Provider Identifier
1063435972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005554
- Practice address
- 595 Flatbush Ave Medical Office
Brooklyn, NY 11225-5406 - Phone
- (718) 675-1100
- Fax
- (877) 868-8633
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N005554 | NY | Primary |
Addresses
Primary practice location
595 Flatbush Ave Medical Office
Brooklyn, NY 11225-5406
Mailing address
595 Flatbush Ave Medical Office
Brooklyn, NY 11225-4903
Phone (718) 675-1100
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01948030 | Medicaid | NY | |
| 02519726 | Medicaid | NY | |
| 6299151 | Other | NY | GHI |
| N005554 | Other | NY | HIP |
| 010012305 | Other | NY | UNITED HEALTH CARE |
| 10204538 | Other | NY | AMERIGROUP NEW YORK, LLC |
| 54N2182 | Other | NY | NHP NEIGHBORHOOD |
| P2734169 | Other | NY | OXFORD HEALTH PLAN |
| 109930101 | Other | NY | HEALTH PLUS |
| 74-3048941 | Other | NY | HORIZON HEALTH CARE |
| 0100112305 | Other | NY | AMERICHOICE BY UNITED HEALTH CARE |
| 113513164 | Other | NY | METROPLUS |
| 74-3048941 | Other | NY | MAGNA CARE |
| N005554-A22 | Other | NY | HEALTH FIRST |
| 170647 | Other | NY | ELDERPLAN |
| 92067 | Other | NY | WELLCARE |
| 4C4325 | Other | NY | HEALTH NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100524000282 | NY | Practitioner - Podiatry | 8426012162 | Practice locations: Rego Park, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9314 Queens Blvd
Suite 1E
Rego Park, NY 11374-1135
Phone (646) 383-3414
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 434 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1022 |
| Removal or shaving of skin growth | 689 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005554 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Square Medical Imaging and Mammography PC | Past | Accepting new patients | |
| DT Foot Care PC | Podiatrist | Past | Accepting new patients |
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.
-
- Podiatrist
- Rego Park, NY
- NPI 1871986752
-
- Mammography Clinic/Center
- New York, NY
- NPI 1912037102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1063435972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 FLATBUSH AVE MEDICAL OFFICE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112254903",
"telephone_number": "718-675-1100",
"fax_number": "877-868-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 FLATBUSH AVE MEDICAL OFFICE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112255406",
"telephone_number": "718-675-1100",
"fax_number": "877-868-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "WALTER",
"middle_name": "HERNAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2026-08-02",
"certification_date": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N005554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01948030",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02519726",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6299151",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "N005554",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "010012305",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP NEW YORK, LLC",
"identifier": "10204538",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP NEIGHBORHOOD",
"identifier": "54N2182",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P2734169",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "109930101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTH CARE",
"identifier": "74-3048941",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE BY UNITED HEALTH CARE",
"identifier": "0100112305",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METROPLUS",
"identifier": "113513164",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNA CARE",
"identifier": "74-3048941",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "N005554-A22",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "170647",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "92067",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "4C4325",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.