Individual provider Active NPI

Luisa A Perez, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1194719419
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
237247 Issued in NY
Practice address
3054 Godwin Ter
Suite a
Bronx, NY 10463-5312
Phone
(347) 587-4020
Fax
(347) 587-4021
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 237247 NY Primary

Addresses

Primary practice location

3054 Godwin Ter
Suite a
Bronx, NY 10463-5312

Mailing address

3226 Oxford Ave
Riverdale, NY 10463-3575
Phone (718) 548-8074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060124000895 NY Practitioner - Internal Medicine 0244254605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Godwin Medical PCGroup PAC ID 2961542147, 2 clinicians

Practice addresses (Care Compare)

3054 Godwin Ter a
Bronx, NY 10463-5312
Phone (347) 587-4020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237247NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Godwin Medical PC CurrentSince Nov 6, 2009 Accepting new patients
Sciometrix Inc CurrentSince Jan 1, 2026 Accepting new patients
Exterior Medical CurrentSince Mar 3, 2024 Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

1060 Broadway
Ste 100
Menands, NY 12204
Phone (248) 369-3315

145 W 96th St
Ste 1C
New York, NY 10025
Phone (212) 663-3420

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1194719419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 OXFORD AVE",
            "city": "RIVERDALE",
            "state": "NY",
            "postal_code": "104633575",
            "telephone_number": "718-548-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 GODWIN TER",
            "address_2": "SUITE A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635312",
            "telephone_number": "347-587-4020",
            "fax_number": "347-587-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LUISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.