Individual provider Active NPI

Walter Hernan Perez, D.P.M.

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1063435972
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005554 Issued in NY
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

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01948030MedicaidNY
02519726MedicaidNY
6299151OtherNYGHI
N005554OtherNYHIP
010012305OtherNYUNITED HEALTH CARE
10204538OtherNYAMERIGROUP NEW YORK, LLC
54N2182OtherNYNHP NEIGHBORHOOD
P2734169OtherNYOXFORD HEALTH PLAN
109930101OtherNYHEALTH PLUS
74-3048941OtherNYHORIZON HEALTH CARE
0100112305OtherNYAMERICHOICE BY UNITED HEALTH CARE
113513164OtherNYMETROPLUS
74-3048941OtherNYMAGNA CARE
N005554-A22OtherNYHEALTH FIRST
170647OtherNYELDERPLAN
92067OtherNYWELLCARE
4C4325OtherNYHEALTH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of tissue434
Removal of skin lesions1-10
Removal of nail tissue1022
Removal or shaving of skin growth689
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005554NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.