Active NPI
Manuel M Perea, M.D.
- Specialist
- Saginaw, MI
National Provider Identifier
1366527137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 700 Cooper Ave
900 BLDG
Saginaw, MI 48602-5383 - Phone
- (989) 583-4401
- Fax
- (989) 583-4409
- NPI assigned
- Oct 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
700 Cooper Ave
900 BLDG
Saginaw, MI 48602-5383
Mailing address
3023 Davenport Ave
P O Box 3272
Saginaw, MI 48602-3652
Phone (989) 793-9830
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02685272 | Other | MI | HP |
| 104634636 | Medicaid | MI | |
| P00265524 | Other | MI | RAILROAD MR # |
| 0207310972 | Other | MI | BLUE CROSS BLUE SHIELD # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366527137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 DAVENPORT AVE",
"address_2": "P O BOX 3272",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486023652",
"telephone_number": "989-793-9830",
"fax_number": "989-797-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 COOPER AVE",
"address_2": "900 BLDG",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025383",
"telephone_number": "989-583-4401",
"fax_number": "989-583-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "MANUEL",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HP",
"identifier": "02685272",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104634636",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MR #",
"identifier": "P00265524",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "0207310972",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.