Jose Manuel Perez II, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

717 Highway 71 W Ste 500
500
Bastrop, TX 78602-4148

Phone

(512) 332-2273

NPI assigned

Aug 28, 2014

Last updated

Dec 7, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Aic Urgent Care. PLLC

  • Urgent Care Clinic/Center
  • La Marque, TX
  • NPI 1962788125
  Medicare reassignment
• St. David's Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1578963450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 HIGHWAY 71 W STE 500",
            "address_2": "500",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024148",
            "telephone_number": "512-332-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 HIGHWAY 71 W STE 500",
            "address_2": "500",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024148",
            "telephone_number": "512-332-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arti Patel, DDS
• Supriya N Patil
• Gregory M Paul, MD
• Dylan J Payne, DC
• Pecan Street Dental
• Zhane Perkins, DPT
• Stephanie Kaye Peters, OTR, M.O.T.
• Phoenix Oncology Lost Pines PLLC
• Physical Therapy Providers
• Pinnacle Pharmacy Group LLC (Pinnacle Pharmacy)

• Physician Assistant in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.