Individual provider Active NPI

Cristina Alexandra Perez Viso, MD

  • Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1063935559
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
V3676 Issued in TX
Practice address
1801 N Senate Blvd
Indianapolis, IN 46202-1228
Phone
(317) 274-7827
Fax
(317) 962-0289
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X V3676 TX Primary
Surgical Critical Care Physician 2086S0102X V3676 TX

Addresses

Primary practice location

1801 N Senate Blvd
Indianapolis, IN 46202-1228

Mailing address

1801 N Senate Blvd
Indianapolis, IN 46202-1228
Phone (317) 274-7827

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
I20240923001997 TX Practitioner - General Surgery 4385026731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

10907 Memorial Hermann Dr
Pearland, TX 77584-4114

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6259

16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 413-6941

16100 S Fwy N3 172
Pearland, TX 77584-1895
Phone (713) 413-5738

3203 Broadway St
Pearland, TX 77581-1414
Phone (281) 485-8876

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.11 of 100Reported as apm
Quality
82.45
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V3676TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Surgery CurrentSince Oct 1, 2024 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

909 Frostwood Dr
Ste 1405
Houston, TX 77024
Phone (713) 338-5519

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

10907 Memorial Hermann Dr
Ste 460
Pearland, TX 77584
Phone (713) 497-8150

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

Interoperability endpoints

  • Direct secure messaging: cperezviso53313@memorialhermann.direct-ci.com

Organizations & group practices 1

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 6

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1063935559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021228",
            "telephone_number": "317-274-7827",
            "fax_number": "317-962-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021228",
            "telephone_number": "317-274-7827",
            "fax_number": "317-962-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ VISO",
        "first_name": "CRISTINA",
        "middle_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "V3676",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "V3676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.