Individual provider Active NPI

Timothy A Perozek, M. D.

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1205895158
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11220 Issued in NV
Practice address
653 N Town Center Dr
Suite 212
Las Vegas, NV 89144-0514
Phone
(702) 982-1360
Fax
(702) 202-3489
NPI assigned
Mar 20, 2006
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11220 NV Primary

Addresses

Primary practice location

653 N Town Center Dr
Suite 212
Las Vegas, NV 89144-0514

Mailing address

653 N Town Center Dr
Suite 212
Las Vegas, NV 89144-0514
Phone (702) 982-1360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20060321000236 NV Practitioner - Ophthalmology 3173530896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
51.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hanna Professional LLC CurrentSince Apr 1, 2025 Accepting new patients
Perozek Professional Corporation CurrentSince Jan 1, 2007 Accepting new patients

Locations

653 N Town Center Dr
Ste 2
Las Vegas, NV 89144
Phone (702) 782-1360

653 N Town Center Dr
Ste 212
Las Vegas, NV 89144
Phone (702) 982-1360

Organizations & group practices 2

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1205895158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-982-1360",
            "fax_number": "702-202-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-982-1360",
            "fax_number": "702-202-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROZEK",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "11220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.