Individual provider Active NPI

Cara Elizabeth Perez, M.D.

  • Pain Medicine Physician
  • Springboro, OH
National Provider Identifier
1124261359
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35.081196 Issued in OH
Practice address
54 Remick Blvd
Springboro, OH 45066-9168
Phone
(937) 619-3616
Fax
(937) 949-4870
NPI assigned
Apr 17, 2009
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35081196 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 35.081196 OH
Pain Medicine Physician 208VP0000X 35.081196 OH Primary

Addresses

Primary practice location

54 Remick Blvd
Springboro, OH 45066-9168

Mailing address

54 Remick Blvd
Ste 10
Springboro, OH 45066-9168
Phone (937) 619-3616

Other practice location 1

7691 5 Mile Rd Ste 10
Cincinnati, OH 45230-4348
Phone (937) 619-3616

Other identifiers 2

IdentifierTypeStateIssuer
2383380MedicaidOH
P01451161OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040923000025 OH Practitioner - Anesthesiology 3678541042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandusky Anesthesia LLCGroup PAC ID 3274895271, 117 clinicians

Practice addresses (Care Compare)

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 298-4331

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 866-0551

600 N Pickaway St
Circleville, OH 43113-1447
Phone (740) 474-2126

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081196OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia and Pain Management LLC Pain Medicine CurrentSince Jun 1, 2022 Accepting new patients
DCR Surgery Center, LLC CurrentSince Jun 5, 2022 Accepting new patients
Imperial Enterprise of Ohio LLC Anesthesiology CurrentSince Feb 1, 2016 Accepting new patients
Sandusky Anesthesia LLC CurrentSince Nov 17, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Chillicothe Anesthesia Associates Inc Anesthesiology Past Accepting new patients
Anesthesia and Pain Management LLC PastSince Jun 26, 2022 Accepting new patients

Locations

2619 Commons Blvd
Ste 130
Beavercreek, OH 45431
Phone (937) 280-4970

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

245 W Elmwood Dr
Ste 100
Dayton, OH 45459
Phone (937) 350-6703

915 Michigan St
Bldg B
Sidney, OH 45365
Phone (937) 419-5010

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1124261359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 REMICK BLVD",
            "address_2": "STE 10",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-619-3616",
            "fax_number": "937-949-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 REMICK BLVD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-619-3616",
            "fax_number": "937-949-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7691 5 Mile Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452304348",
            "country_code": "US",
            "telephone_number": "937-619-3616",
            "fax_number": "937-619-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35081196",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.081196",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35.081196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383380",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01451161",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.