Nicolas Yamil Perez

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME133268 Issued in FL

Practice address

4513 Executive Dr
Naples, FL 34119

Phone

(239) 591-2803

Fax

(239) 594-5637

NPI assigned

Apr 24, 2012

Last updated

May 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain Management

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Omni Pain Care, LLCGroup PAC ID 6406135839, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: nperez303990@direct.tgh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omni Pain Care, LLC

  dba Omni Spine & Joint - Riverview

  • Interventional Pain Medicine Physician
  • Riverview, FL
  • NPI 1962955765
  Medicare reassignment Care Compare group NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Community Hospital Group, Inc

  dba JFK MRMC Assistant Surgeons

  • Specialist
  • Edison, NJ
  • NPI 1427278258
  NPD (past)
• Community Hospital Group, Inc

  dba JFK Cardiology

  • Cardiovascular Disease Physician
  • Edison, NJ
  • NPI 1467670224
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1508124991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 EXECUTIVE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "239-591-2803",
            "fax_number": "239-594-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14131 Metropolis Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124455",
            "country_code": "US",
            "telephone_number": "239-591-2803",
            "fax_number": "239-594-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NICOLAS",
        "middle_name": "YAMIL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA09884300",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME133268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauryc Perez
• Leandro Perez, MD
• Leyanis Perez, MS
• Lisandra Perez
• Marco Antonio Perez, M.D.
• Tania E Perez, ARNP
• Yoniel Perez
• Yuniel Perez
• Kearston Kylie Perfetto, ARNP
• Performance Optimal Health LLC

• Interventional Pain Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.

Verify at the official NPI Registry.