Active NPI
Guillermo R Perez, MD
- Surgery Physician
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- L7519
- Practice address
- 5015 S McColl Rd
Edinburg, TX 78539-8080 - Phone
- (956) 627-3686
- Fax
- (956) 664-0531
- NPI assigned
- Oct 27, 2006
- Last updated
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | L7519 | TX | Primary |
| Trauma Surgery Physician | 2086S0127X | L7519 | TX |
Addresses
Primary practice location
5015 S McColl Rd
Edinburg, TX 78539-8080
Mailing address
PO Box 5550
McAllen, TX 78502-5550
Phone (956) 627-3686
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163901503 | Medicaid | TX | |
| 163901502 | Medicaid | TX | |
| 8AJ752 | Other | TX | BCBS |
| TXB109453 | Other | TX | MEDICARE |
| P00221107 | Other | TX | RAILROAD |
| P00911268 | Other | TX | RAILROAD MEDICARE |
| 163901505 | Medicaid | TX | |
| 163901504 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1203 St Claire Blvd
Suite 13B
Mission, TX 78572-9108
Phone (956) 600-8899
5015 S McColl Rd
Edinburg, TX 78539-8080
Phone (956) 627-3686
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Varicose vein removal | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7519 | TX | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Valley Interventional Nephrology, PLLC | Current | Accepting new patients | |
| Advanced Vein Care Clinic | Surgery | Current | Accepting new patients |
| Guillermo R Perez MD PA | Surgery | Current | Accepting new patients |
| Doctors Hospital at Renaissance, LTD | Past | Accepting new patients | |
| Luis M Reyes MD PA | Surgery | Past | Accepting new patients |
Locations
5015 S McColl Rd
Edinburg, TX 78539
Phone (956) 627-3686
1801 S 5th St
Ste 120
McAllen, TX 78503
Phone (956) 687-7151
1200 E Savannah Ave
Ste 6
McAllen, TX 78503
Phone (956) 992-8738
1200 E Savannah Ave
McAllen, TX 78503
Phone (956) 618-2999
1203 St Claire Blvd
Ste 13B
Mission, TX 78572
Phone (330) 394-1152
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFHACD
- https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/
Organizations & group practices 5
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.
-
- Surgery Physician
- Edinburg, TX
- NPI 1083926737
-
- Nephrology Physician
- Mission, TX
- NPI 1184382848
-
- Surgery Physician
- Edinburg, TX
- NPI 1851519136
-
dba DHR Health
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Surgery Physician
- McAllen, TX
- NPI 1891764866
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DHR Health
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
dba DHR Health
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1174609564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5550",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785025550",
"telephone_number": "956-627-3686",
"fax_number": "956-664-0531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398080",
"telephone_number": "956-627-3686",
"fax_number": "956-664-0531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "GUILLERMO",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "L7519",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "L7519",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163901503",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163901502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AJ752",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB109453",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00221107",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00911268",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163901505",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163901504",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.