Johnny Perez, M.D., PH.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

15745R Issued in LA

Practice address

604 N Acadia Road Ste 406
Thibodaux, LA 70301-4897

Phone

(985) 446-2524

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

General SurgeryAlso: Thoracic Surgery

Education

University of California, San Francisco School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Service District No 1 of the Parish of St MaryGroup PAC ID 6800782541, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Divinity Home Health Services, LLC Home health agency, Thibodaux, LA, CCN 197485
• Bayou Bend Health System Hospital, Franklin, LA, CCN 191310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

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 Service District No. 1 of the Parish of St. Mary

  • Surgery Physician
  • Franklin, LA
  • NPI 1699895953
  Medicare reassignment Care Compare group NPD
• Abbeville General Hospital

  • Clinic/Center
  • Abbeville, LA
  • NPI 1285779363
  Medicare reassignment NPD
• Abbeville General Hospital

  • Urgent Care Clinic/Center
  • Abbeville, LA
  • NPI 1619458247
  NPD
• Hospital Service District No. 1 of the Parish of St. Mary

  • Medicare Defined Swing Bed Hospital Unit
  • Franklin, LA
  • NPI 1083753610
  NPD
• Hospital Service District No. 1 of the Parish of St. Mary

  • Critical Access Hospital
  • Franklin, LA
  • NPI 1043218365
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Divinity Home Health Services, LLC

  • Home Health Agency
  • Thibodaux, LA
  • NPI 1801224084
  Care Compare affiliation
• Hospital Service District No. 1 of the Parish of St. Mary

  • Critical Access Hospital
  • Franklin, LA
  • NPI 1043218365
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1184612467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA ROAD STE 406",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-446-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N ACADIA ROAD STE 406",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-446-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOHNNY",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "15745R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1465534",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peltier-Lawless Developmental Center
• Peltier-Lawless Developmental Center
• Peltier-Lawless Developmental Center
• Henry Matthew Peltier, M.D.
• Michael John Peneguy, DDS
• Robyn Perkins
• Kelly Perque, R.N.
• Krysten Hymel Perque, FNP
• Toni Pesson
• Lauren Baylee Petrus

• Surgery Physician in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.

Verify at the official NPI Registry.