NPIMap

Individual provider Active NPI

Ernesto Luciano-Perez, MD

  • Orthopaedic Surgery Physician
  • Suffolk, VA
National Provider Identifier
1336179357
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101046224 Issued in VA
Practice address
5838 Harbour View Blvd
Suite 100
Suffolk, VA 23435-2663
Phone
(757) 673-5680
Fax
(757) 483-3075
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0101046224 VA
Orthopaedic Surgery Physician 207X00000X 0101046224 VA Primary

Addresses

Primary practice location

5838 Harbour View Blvd
Suite 100
Suffolk, VA 23435-2663

Mailing address

5838 Harbour View Blvd
Suite 100
Suffolk, VA 23435-2663
Phone (757) 673-5680

Other identifiers 2

IdentifierTypeStateIssuer
006405231MedicaidVA
200028240OtherVAMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000605 VA Practitioner - Orthopedic Surgery 0749213429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

5818 Harbour View Blvd
Suffolk, VA 23435-3315

5838 Harbour View Blvd
Suffolk, VA 23435-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as individual
Quality
72.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Orthopaedic Surgery CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Orthopaedic Surgery CurrentSince Jan 1, 2020 Accepting new patients

Locations

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

3300 High St
Ste 1
Portsmouth, VA 23707
Phone (757) 397-0783

2012 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-1477

7007 Harbour View Blvd
Ste 108
Suffolk, VA 23435
Phone (757) 215-2784

5838 Harbour View Blvd
Ste 100
Suffolk, VA 23435
Phone (757) 483-0407

Interoperability endpoints

  • Direct secure messaging: elucianoperez1153253@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1336179357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 HARBOUR VIEW BLVD",
            "address_2": "SUITE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352663",
            "telephone_number": "757-673-5680",
            "fax_number": "757-483-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 HARBOUR VIEW BLVD",
            "address_2": "SUITE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352663",
            "telephone_number": "757-673-5680",
            "fax_number": "757-483-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIANO-PEREZ",
        "first_name": "ERNESTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101046224",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101046224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006405231",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "200028240",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.