Active NPI
Rolando A. Perea Jr., N.P.
- Nurse Practitioner
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN175412
- Practice address
- 281 Lincoln St
Worcester, MA 01605-2138 - Phone
- (508) 793-6000
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPP37098 | RI | |
| Nurse Practitioner | 363L00000X | RN175412 | MA | Primary |
Addresses
Primary practice location
281 Lincoln St
Worcester, MA 01605-2138
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7008692 | Medicaid | RI | |
| 408358 | Other | RI | BLUE CHIP |
| 30295-5 | Other | RI | BLUECROSS BLUESHIELD |
| P00171415 | Other | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Adams PL
Suite 305
Quincy, MA 02169-7456
Hospital & facility affiliations
- Umass Memorial Medical Center/University Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Centers of Central Massachusetts, LLC | Current | Accepting new patients | |
| Urgent Care Centers of Central Massachusetts, LLC | Current | Accepting new patients | |
| Carewell Urgent Care Centers of Ma, P.C | Current | Accepting new patients | |
| Carewell Urgent Care Centers of Ma, PC | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
380 John Fitch Hwy
Fitchburg, MA 01420
Phone (617) 302-4194
757 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 630-8989
2 Adams Pl
Ste 305
Quincy, MA 02169
Phone (617) 302-4194
484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- South Dennis, MA
- NPI 1740543214
-
- Urgent Care Clinic/Center
- Marlborough, MA
- NPI 1497286280
-
- Urgent Care Clinic/Center
- Fitchburg, MA
- NPI 1699121962
-
- Urgent Care Clinic/Center
- Northborough, MA
- NPI 1417488206
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1609841014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052138",
"telephone_number": "508-793-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "ROLANDO",
"middle_name": "A.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "NPP37098",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN175412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7008692",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "408358",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "30295-5",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00171415",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.