Maria T Perez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-098979 Issued in IL

Practice address

2003 W Fulton St Ste 303
Chicago, IL 60612-2345

Phone

(312) 243-2223

NPI assigned

Jan 23, 2008

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpere@yourcarecommunity.org

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.

• MD @ Home Illinois, SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1568758415
  Medicare reassignment NPD
• Excellent Medical Associates, P.C.

  • General Practice Physician
  • Orland Park, IL
  • NPI 1215223623
  Medicare reassignment
• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD
• Homecare Doctors LLC

  • Internal Medicine Physician
  • Park Ridge, IL
  • NPI 1700129277
  NPD
• County of Clay

  • Rural Health Clinic/Center
  • Clay City, IL
  • NPI 1871950550
  NPD (past)
• Baptist Memorial Hospital-Tipton

  • General Acute Care Hospital
  • Covington, TN
  • NPI 1316901937
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1285811166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST",
            "address_2": "STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122345",
            "telephone_number": "618-662-2191",
            "fax_number": "618-662-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122345",
            "telephone_number": "312-243-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Stacey Burk Dr",
            "address_purpose": "LOCATION",
            "city": "Flora",
            "state": "IL",
            "postal_code": "628393241",
            "country_code": "US",
            "telephone_number": "618-662-2191",
            "fax_number": "618-662-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-098979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-098979",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01616720",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizzette M Perez, PHARM D
• Lucia Perez, LCSW
• Manuel Perez, M.D.
• Maria E Perez, DO
• Maria Suzana Perez, PMHNP-BC
• Mariana Perez, BS
• Marisol Perez
• Marisol Perez, LSW
• Marta Perez, M.D.
• Matthew Zen Perez

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.