Active NPI
Joaquin Alberto Peralta, MD
- Emergency Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- U9633
- Practice address
- 4835 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75244-6001 - Phone
- (281) 948-8275
- NPI assigned
- Apr 24, 2021
- Last updated
- Jun 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | PERA-DQXK4L | NC | |
| Emergency Medicine Physician | 207P00000X | U9633 | TX | Primary |
Addresses
Primary practice location
4835 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75244-6001
Mailing address
4835 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75244-6001
Phone (281) 948-8275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Western Michigan Un Homer Stryker School of Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17200 St Lukes Way
CHI St Lukes Health the Woodlands
The Woodlands, TX 77384-8007
Phone (936) 266-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PERA-DQXK4L | NC | MD | Emergency Medicine Physician |
| U9633 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366
540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288
5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326
11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600
17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008
17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055
Interoperability endpoints
- jperalta356291@directhisp.wakemed.org
Organizations & group practices 1
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.
-
dba IES Houston
- Emergency Medicine Physician
- Pasadena, TX
- NPI 1801458708
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Luke's Lakeside Hospital
- Special Hospital
- The Woodlands, TX
- NPI 1184868879
-
dba St. Luke's The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1336721885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 LYNDON B JOHNSON FWY STE 900",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446001",
"telephone_number": "281-948-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4835 LYNDON B JOHNSON FWY STE 900",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446001",
"telephone_number": "281-948-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "JOAQUIN",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-24",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "PERA-DQXK4L",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "U9633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.