Individual provider Active NPI

Ligia Perez, M.D.

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1437145661
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME79927 Issued in FL
Practice address
470 2ND St S
St Petersburg, FL 33701-4330
Phone
(727) 893-6060
Fax
(727) 893-6061
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME79927 FL Primary

Addresses

Primary practice location

470 2ND St S
St Petersburg, FL 33701-4330

Mailing address

470 2ND St S
St Petersburg, FL 33701-4330
Phone (727) 893-6060

Other identifiers 1

IdentifierTypeStateIssuer
116822300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050124000947 FL Practitioner - Family Practice 6709836125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

470 2ND St S
St Petersburg, FL 33701-4330
Phone (727) 893-6060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79927FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine CurrentSince May 31, 2022 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine PastSince May 8, 2022 Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

470 2nd St S
St Petersburg, FL 33701
Phone (727) 893-6060

601 7th St S
St Petersburg, FL 33701
Phone (727) 572-0900

Organizations & group practices 7

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 3

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1437145661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 2ND ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014330",
            "telephone_number": "727-893-6060",
            "fax_number": "727-893-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 2ND ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014330",
            "telephone_number": "727-893-6060",
            "fax_number": "727-893-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LIGIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116822300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.