Individual provider Active NPI

Elys Maria Perez, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Ft Lauderdale, FL
National Provider Identifier
1154760585
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME130525 Issued in FL
Practice address
1625 SE 3Rd Ave Ste 700
Ft Lauderdale, FL 33316-2521
Phone
(954) 831-2760
Fax
(954) 831-2765
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME130525 FL Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301500198 MI

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 700
Ft Lauderdale, FL 33316-2521

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 831-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181105002310 FL Practitioner - Endocrinology 7315290541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

1625 SE 3 Ave
Fort Lauderdale, FL 33316-2521

1625 SE 3Rd Ave
Suite 525
Ft Lauderdale, FL 33316-2521
Phone (954) 355-4975

Hospital & facility affiliations

  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME130525FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
North Broward Hospital District Current Accepting new patients
North Broward Hospital District CurrentSince Jan 2, 2019 Accepting new patients
North Broward Hospital District CurrentSince Jan 2, 2019 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jul 13, 2018 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jul 13, 2018 Accepting new patients
North Broward Hospital District Past Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1625 SE 3rd Ave
Ste 700
Ft Lauderdale, FL 33316
Phone (954) 463-3200

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

9971 W Flagler St
Miami, FL 33174
Phone (305) 222-8335

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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 9

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1154760585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-831-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 700",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-831-2760",
            "fax_number": "954-831-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELYS",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME130525",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301500198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.