Individual provider Active NPI

Isael Perez Jr., M.D.

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
National Provider Identifier
1215462189
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
68195 Issued in AZ
Practice address
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone
(480) 412-3000
NPI assigned
Apr 27, 2017
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Vascular & Interventional Radiology Physician 2085R0204X MT226888 PA
Vascular & Interventional Radiology Physician 2085R0204X 68195 AZ Primary

Addresses

Primary practice location

1400 S Dobson Rd
Mesa, AZ 85202-4707

Mailing address

10425 Caminito Cuervo
Unit 213
San Diego, CA 92108-1856
Phone (619) 371-8088

Other practice location 1

101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 689-8333

Other practice location 2

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Phone (111) 111-1111

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
I20230112000743 AZ Practitioner - Diagnostic Radiology 6901139427 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Associated Valley Radiologists, LTDGroup PAC ID 8325388499, 59 clinicians
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians

Practice addresses (Care Compare)

1201 S Alma School Rd
Suite 14500
Mesa, AZ 85210-1125
Phone (832) 915-2534

13555 W McDowell Rd
Suite 106
Goodyear, AZ 85395-2625
Phone (623) 847-2000

18275 N 59TH Ave
Suite 168
Glendale, AZ 85308-1254
Phone (623) 847-2000

4555 E Inverness Ave
Suite 1
Mesa, AZ 85206-4630
Phone (480) 409-5060

5601 W Eugie Ave
Suite 102
Glendale, AZ 85304-1256
Phone (480) 610-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT226888PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Oct 14, 2022 Accepting new patients
Banner Imaging Services LLC CurrentSince Apr 1, 2023 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1125 S Alma School Rd
Ste 110
Chandler, AZ 85286

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7400 N Dobson Rd
Ste 102
Scottsdale, AZ 85256

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

1625 N Campbell Ave
Tucson, AZ 85719

Organizations & group practices 6

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 5

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1215462189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 CAMINITO CUERVO",
            "address_2": "UNIT 213",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081856",
            "telephone_number": "619-371-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-412-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Nicolls Rd",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "11794",
            "country_code": "US",
            "telephone_number": "631-689-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Old York Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413098",
            "country_code": "US",
            "telephone_number": "111-111-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ISAEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MT226888",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "68195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.