Individual provider Active NPI

Kevin Manuel Perez

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1588207682
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11007021 Issued in FL
Practice address
9008 New Orleans CT
Orlando, FL 32818-9050
Phone
(321) 945-8095
NPI assigned
Oct 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 11007021 FL Primary

Addresses

Primary practice location

9008 New Orleans CT
Orlando, FL 32818-9050

Mailing address

9008 New Orleans CT
Orlando, FL 32818-9050
Phone (321) 945-8095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610002361 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850712282 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
11007021FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 25, 2024 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Dec 18, 2023 Accepting new patients
Space Coast Anesthesia Services LLC CurrentSince Nov 17, 2024 Accepting new patients
Apollo Medical Group of Ocala LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 12, 2024 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Jul 9, 2024 Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2023 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 26, 2024 Accepting new patients
Orange City Anesthesia Services LLC CurrentSince Nov 1, 2024 Accepting new patients
Orlando Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2024 Accepting new patients
Amsurg Altamonte Springs Anesthesia, LLC CurrentSince Jul 25, 2021 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2020 Accepting new patients
Physician Partners of America Crna Operations LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 14, 2023 Accepting new patients

Locations (25 of 26)

623 Maitland Ave
Ste 1100
Altamonte Springs, FL 32701
Phone (407) 478-0871

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

3241 SW 34th St
Ocala, FL 34474
Phone (352) 237-5906

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

801 N Orange Ave
Ste 630
Orlando, FL 32801
Phone (407) 650-0051

88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573

1736 33rd St
Ste 100
Orlando, FL 32839
Phone (407) 385-1551

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

Networks

  • Freedom Health HMO Network

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1588207682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 NEW ORLEANS CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328189050",
            "telephone_number": "321-945-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 NEW ORLEANS CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328189050",
            "telephone_number": "321-945-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KEVIN",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11007021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.

Verify at the official NPI Registry.