Individual provider Active NPI

Evan Dustin Perez, M.D

  • Sports Medicine (Family Medicine) Physician
  • Edinburg, TX
National Provider Identifier
1437561412
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
R0100 Issued in TX
Practice address
3804 S Jackson Rd Ste 1
Edinburg, TX 78539-6681
Phone
(956) 296-3001
Fax
(956) 296-3000
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X R0100 TX Primary

Addresses

Primary practice location

3804 S Jackson Rd Ste 1
Edinburg, TX 78539-6681

Mailing address

PO Box 531968
Harlingen, TX 78553-1968
Phone (833) 847-4863

Other practice location 1

2810 W Expressway 83
Mercedes, TX 78570-9704
Phone (956) 973-3531

Other practice location 2

1315 E 6th St Ste 10
Weslaco, TX 78596-6658
Phone (956) 296-1831

Other identifiers 2

IdentifierTypeStateIssuer
3912560-01MedicaidTX
H08JU12901OtherTXBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731003390 TX Practitioner - Sports MedicinePractitioner - Family Practice 5193013886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 N Commerce Ctr
Suite 2350
McAllen, TX 78501-3185
Phone (833) 887-4863

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley CurrentSince Jul 13, 2018 Accepting new patients
The University of Texas Rio Grande Valley Sports Medicine Current Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

3804 S Jackson Rd
Ste 2
Edinburg, TX 78539
Phone (956) 296-1960

3804 S Jackson Rd
Ste 1
Edinburg, TX 78539
Phone (956) 296-3001

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

1000 E Dove Ave
McAllen, TX 78504
Phone (956) 362-3520

1400 N Commerce Ctr
Ste 2350
McAllen, TX 78501
Phone (956) 296-4900

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

1315 E 6th St
Ste 10
Weslaco, TX 78596
Phone (956) 296-2821

Interoperability endpoints

  • Direct secure messaging: evan.perez.1@25460.direct.athenahealth.com

Organizations & group practices 3

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1437561412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531968",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531968",
            "telephone_number": "833-847-4863",
            "fax_number": "956-296-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S JACKSON RD STE 1",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396681",
            "telephone_number": "956-296-3001",
            "fax_number": "956-296-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Expressway 83",
            "address_purpose": "LOCATION",
            "city": "Mercedes",
            "state": "TX",
            "postal_code": "785709704",
            "country_code": "US",
            "telephone_number": "956-973-3531",
            "fax_number": "956-973-3570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 E 6th St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966658",
            "country_code": "US",
            "telephone_number": "956-296-1831",
            "fax_number": "956-296-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EVAN",
        "middle_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "R0100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3912560-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08JU12901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.