Individual provider Active NPI

Lais Ungari Perlstein, MD, PHD

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1184835126
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46622 Issued in AZ
Practice address
1705 W Main St
Mesa, AZ 85201-6920
Phone
(480) 964-2273
Fax
(480) 718-9477
NPI assigned
May 24, 2007
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 228041 MA
Internal Medicine Physician 207R00000X 46622 AZ Primary

Addresses

Primary practice location

1705 W Main St
Mesa, AZ 85201-6920

Mailing address

406 W 14TH St
Tempe, AZ 85281-5655
Phone (617) 549-0853

Other practice location 1

21 E 6th St
loft 415
Tempe, AZ 85281-3679
Phone (617) 549-0853

Other identifiers 2

IdentifierTypeStateIssuer
110085029AMedicaidMA
864565MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20131219001506 AZ Practitioner - Internal Medicine 2062568348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adelante Healthcare, IncGroup PAC ID 4688588643, 132 clinicians

Practice addresses (Care Compare)

15317 W Bell Rd
Surprise, AZ 85374-3900
Phone (877) 809-5092

1705 W Main St
Mesa, AZ 85201-6920
Phone (877) 809-5092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228041MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare, Inc. Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Adelante Healthcare, Inc. Internal Medicine Current Accepting new patients
Adelante Healthcare, Inc CurrentSince Jan 1, 2014 Accepting new patients
Hospitalists of Arizona, LLC Internal Medicine Past Accepting new patients

Locations

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814

13471 W Cornerstone Blvd
Goodyear, AZ 85395
Phone (844) 551-6691

2740 S Alma School Rd
Mesa, AZ 85210
Phone (480) 491-6235

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 843-1560

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222

7725 N 43rd Ave
Ste 510
Phoenix, AZ 85051
Phone (623) 207-5465

9520 W Palm Ln
Ste 200
Phoenix, AZ 85037
Phone (623) 556-8860

15351 W Bell Rd
Surprise, AZ 85374

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

811 N Tegner St
Wickenburg, AZ 85390
Phone (928) 684-9555

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1184835126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W 14TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815655",
            "telephone_number": "617-549-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016920",
            "telephone_number": "480-964-2273",
            "fax_number": "480-718-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 E 6th St",
            "address_2": "loft 415",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852813679",
            "country_code": "US",
            "telephone_number": "617-549-0853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERLSTEIN",
        "first_name": "LAIS",
        "middle_name": "UNGARI",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "228041",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "46622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085029A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "864565",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.