Andres Miguel Pereira, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

173568 Issued in NY

Practice address

105 Arden St Ste 1B
New York, NY 10040-1118

Phone

(212) 567-6200

Fax

(212) 567-9397

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Inwood Diagnostic and Treatment Center Inc

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1457598096
  Medicare reassignment Authorized official
• Inwood Diagnostic and Treatment Center,Inc

  • Family Medicine Physician
  • New York, NY
  • NPI 1295114536

  Multi-Specialty

  NPD Authorized official
• Andres M. Pereira M.D.P.C.

  • Family Medicine Physician
  • New York, NY
  • NPI 1518418011

  Multi-Specialty

  NPD (past) Authorized official
• Sorin Medical PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1942543053

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1497824817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ARDEN ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401118",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARDEN ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401118",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Sickles St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100401604",
            "country_code": "US",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "486 Kings Hwy Ofc 1A",
            "address_purpose": "LOCATION",
            "city": "Sparkill",
            "state": "NY",
            "postal_code": "109761110",
            "country_code": "US",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "ANDRES",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "173568",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "173568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01072586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Maria Pereguda, M.D.
• Pereira Movement Performance Physical Therapy PLLC
• Pereira Psychiatry, PLLC
• Victor Pereira Sanchez, MD, PHD
• Ana Carolina Pereira, M.D.
• Belbina Joseph Pereira, NP
• David Simao Pereira, MD
• Diana Martins Pereira, P.A.
• Eduardo F. S. Pereira, PT, DPT
• Elaine Maria Pereira

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.