Individual provider Active NPI

Alfredo J Perez, MD

  • Internal Medicine Physician
  • Hooksett, NH
National Provider Identifier
1063475697
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13555 Issued in NH
Practice address
Hooksett Primary Care
11 Kimball Drive
Hooksett, NH 03106
Phone
(603) 663-1990
Fax
(603) 663-1989
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13555 NH Primary

Addresses

Primary practice location

Hooksett Primary Care
11 Kimball Drive
Hooksett, NH 03106

Mailing address

Hooksett Primary Care
11 Kimball Drive
Hooksett, NH 03106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20070915000078 NH Practitioner - Internal Medicine 3971596131 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13555NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Jan 1, 2009 Accepting new patients
Catholic Medical Center Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients

Locations

11 Kimball Dr
Hooksett, NH 03106
Phone (603) 641-5386

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

195 McGregor St
Ste 310
Manchester, NH 03102

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1063475697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOOKSETT PRIMARY CARE",
            "address_2": "11 KIMBALL DRIVE",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "03106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOOKSETT PRIMARY CARE",
            "address_2": "11 KIMBALL DRIVE",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "03106",
            "telephone_number": "603-663-1990",
            "fax_number": "603-663-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ALFREDO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "13555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hooksett, NH

Sources for this page

Verify at the official NPI Registry.