Individual provider Active NPI

Kevin Joel Perez, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1467204784
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118675 Issued in FL
Practice address
2015 NW 1St Ave
Miami, FL 33127-4901
Phone
(305) 572-5705
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118675 FL Primary

Addresses

Primary practice location

2015 NW 1St Ave
Miami, FL 33127-4901

Mailing address

2015 NW 1St Ave
Miami, FL 33127-4901
Phone (305) 572-5705

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230004099 FL Practitioner - Physician Assistant 4789170622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Arthur Godfrey Rd
Suite 504
Miami Beach, FL 33140-3500
Phone (305) 538-8339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9118675FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of South Florida PA CurrentSince Nov 1, 2025 Accepting new patients
Allergy & Asthma Associates of South Florida PA PastSince Nov 1, 2025 Accepting new patients

Locations

7150 W 20th Ave
Ste 106
Hialeah, FL 33016
Phone (305) 362-7762

11880 SW 40th St
Ste 304
Miami, FL 33175
Phone (305) 223-8808

400 Arthur Godfrey Rd
Ste 504
Miami Beach, FL 33140
Phone (305) 538-8339

350 NW 84th Ave
Ste 205
Plantation, FL 33324
Phone (954) 472-4848

Interoperability endpoints

  • Direct secure messaging: kevin.perez.1@23939.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1467204784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 NW 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274901",
            "telephone_number": "305-572-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 NW 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274901",
            "telephone_number": "305-572-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KEVIN",
        "middle_name": "JOEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.