Individual provider Active NPI

Guillermo R Perez, MD

  • Surgery Physician
  • Edinburg, TX
National Provider Identifier
1174609564
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L7519 Issued in TX
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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 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

IdentifierTypeStateIssuer
163901503MedicaidTX
163901502MedicaidTX
8AJ752OtherTXBCBS
TXB109453OtherTXMEDICARE
P00221107OtherTXRAILROAD
P00911268OtherTXRAILROAD MEDICARE
163901505MedicaidTX
163901504MedicaidTX

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
I20040406001429 TX Practitioner - General Surgery 1153314059 Reassigns benefits to 2 organizations

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
Upper Valley Interventional Nephrology, PLLCGroup PAC ID 7517354921, 9 clinicians

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

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7519TXMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Interventional Nephrology, PLLC CurrentSince May 1, 2024 Accepting new patients
Advanced Vein Care Clinic Surgery CurrentSince Aug 1, 2010 Accepting new patients
Guillermo R Perez MD PA Surgery CurrentSince Nov 1, 2004 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFHACD
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.