Individual provider Active NPI

Ana Isabel Pere, M.D.

  • Family Medicine Physician
  • Lima, OH
National Provider Identifier
1568466332
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.098696 Issued in OH
Practice address
770 W High St Ste 450
Lima, OH 45801-3962
Phone
(419) 996-5078
Fax
(419) 996-5079
NPI assigned
Jun 9, 2005
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.098696 OH Primary
Family Medicine Physician 207Q00000X 10378R LA

Addresses

Primary practice location

770 W High St Ste 450
Lima, OH 45801-3962

Mailing address

PO Box 636930
Cincinnati, OH 45263-0001
Phone (513) 981-5123

Other practice location 1

2749 Fort Amanda Rd
Lima, OH 45805-4805
Phone (419) 996-5700

Other identifiers 2

IdentifierTypeStateIssuer
0061822MedicaidOH
1989223MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20120412000668 OH Practitioner - Family Practice 1052377793 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10378RLAMDFamily Medicine Physician
35.098696OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima, LLC Family Medicine CurrentSince Mar 12, 2012 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Jul 1, 2023 Accepting new patients
Jackson Parish Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Natchitoches Pulmonary Consultant Past Accepting new patients

Locations

2745 Fort Amanda Rd
Lima, OH 45805
Phone (419) 996-5700

2749 Fort Amanda Rd
Lima, OH 45805
Phone (419) 226-9819

2751 Fort Amanda Rd
Lima, OH 45805
Phone (419) 855-5119

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1568466332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636930",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "513-981-5123",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 450",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013962",
            "telephone_number": "419-996-5078",
            "fax_number": "419-996-5079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2749 Fort Amanda Rd",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458054805",
            "country_code": "US",
            "telephone_number": "419-996-5700",
            "fax_number": "419-996-5639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERE",
        "first_name": "ANA",
        "middle_name": "ISABEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.098696",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "10378R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061822",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1989223",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.