Active NPI
Evan Dustin Perez, M.D
- Sports Medicine (Family Medicine) Physician
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- R0100
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3912560-01 | Medicaid | TX | |
| H08JU12901 | Other | TX | BCBS |
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
- Sports Medicine
- 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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Rio Grande Valley | Current | 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
- 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.
-
- Internal Medicine Physician
- Harlingen, TX
- NPI 1477960730
Sports Medicine
-
- Physiological Laboratory
- McAllen, TX
- NPI 1376436998
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Edinburg, TX
- NPI 1053301754
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1770573586
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.