Individual provider Active NPI

Daniel Michael Peraza, M.D.

  • Dermatology Physician
  • Claremont, NH
National Provider Identifier
1073635355
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
RT 1740 Issued in NH
Practice address
252 Broad St
Claremont, NH 03743-2636
Phone
(603) 542-6455
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X RT 1740 NH Primary
Dermatology Physician 207N00000X 14091 NH

Addresses

Primary practice location

252 Broad St
Claremont, NH 03743-2636

Mailing address

252 Broad St
Claremont, NH 03743-2636
Phone (603) 542-6455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081021000218 NH Practitioner - Dermatology 9931267960 Reassigns benefits to 1 organization
I20110131000039 VT Practitioner - Dermatology 9931267960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose E Peraza MD PLLCGroup PAC ID 6901138288, 8 clinicians

Practice addresses (Care Compare)

252 Broad St
Claremont, NH 03743-2636
Phone 6035426455701

289 County Rd
Windsor, VT 05089-9000
Phone 6035426455701

367 Route 120
Unit A1
Lebanon, NH 03766-1430
Phone (603) 542-6455

Hospital & facility affiliations

  • New London Hospital Hospital, New London, NH, CCN 301304
  • Mt Ascutney Hospital Hospital, Windsor, VT, CCN 471302
  • Springfield Hospital Hospital, Springfield, VT, CCN 471306
  • Valley Regional Hospital Hospital, Claremont, NH, CCN 301308

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions2683
Removal of nail tissue1-10
Removal or shaving of skin growth185
Skin biopsy711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14091NHMDDermatology Physician
RT 1740NHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose E Peraza MD PLLC Dermatology CurrentSince Nov 1, 2019 Accepting new patients

Locations

252 Broad St
Claremont, NH 03743
Phone (603) 542-6455

44 Birch St
Ste 206
Derry, NH 03038
Phone (603) 521-7413

367 Route 120
Lebanon, NH 03766
Phone (404) 538-8801

367 State Route 120
Unit A1
Lebanon, NH 03766
Phone (603) 542-6455

247 Newport Rd
Ste 1
New London, NH 03257
Phone (603) 542-6455

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Interoperability endpoints

  • Direct secure messaging: dmp8@peraza.emadirect.md

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 7

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1073635355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BROAD ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432636",
            "telephone_number": "603-542-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BROAD ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432636",
            "telephone_number": "603-542-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAZA",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "RT 1740",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "14091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

Verify at the official NPI Registry.