Active NPI
Mario Perez-Pena, CRNA
- Certified Registered Nurse Anesthetist
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 202391
- Practice address
- 100 Womans Way
Baton Rouge, LA 70817-5100 - Phone
- (225) 924-8149
- Fax
- (225) 293-1807
- NPI assigned
- Mar 13, 2019
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 202391 | LA | Primary |
Addresses
Primary practice location
100 Womans Way
Baton Rouge, LA 70817-5100
Mailing address
2644 S Sherwood Forest Blvd Ste 121
Baton Rouge, LA 70816-2248
Phone (225) 293-2523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Womans Way
Baton Rouge, LA 70817-5100
Phone (225) 468-6070
17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470
Hospital & facility affiliations
- Womans Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202391 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Capital City Anesthesia Group, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Group Associates Inc | Current | Accepting new patients | |
| Dpi of Louisiana LLC | Anesthesiology | Current | Accepting new patients |
| St. Tammany Pathology | Past | Accepting new patients |
Locations
11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853
7310 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 236-3100
3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1144083387
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1902957103
-
- Specialist
- Baton Rouge, LA
- NPI 1255399598
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1245282466
-
- Clinical Pathology/Laboratory Medicine Physician
- Baton Rouge, LA
- NPI 1801983226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1912943184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1497214191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2644 S SHERWOOD FOREST BLVD STE 121",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708162248",
"telephone_number": "225-293-2523",
"fax_number": "225-293-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOMANS WAY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175100",
"telephone_number": "225-924-8149",
"fax_number": "225-293-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-PENA",
"first_name": "MARIO",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "202391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.