Active NPI
Andrea Pereira, M.D.
- Physical Medicine & Rehabilitation Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD37514
- Practice address
- 1137 Sam Rittenberg Blvd
Charleston, SC 29407-3360 - Phone
- (843) 608-9293
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD37514 | SC | Primary |
Addresses
Primary practice location
1137 Sam Rittenberg Blvd
Charleston, SC 29407-3360
Mailing address
401 N Michigan Ave
Suite 1200
Chicago, IL 60611-4264
Phone (312) 635-0973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375141 | Medicaid | SC | |
| P01451574 | Other | SC | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD37514 | SC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of FL, LLC | Current | Accepting new patients | |
| Vohra Wound Physicians of FL, LLC | Current | Accepting new patients | |
| National Health Rehabilitation LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Pioneer Spine and Sports Physicians, PC | Past | Accepting new patients | |
| Connecticut Spine and Sports Physicians, Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
100 M St SE
Ste 600
Washington, DC 20003
Phone (202) 574-5700
1785 S Hayes St
Arlington, VA 22202
Phone (703) 920-0980
1017 George Washington Hwy N
Chesapeake, VA 23323
Phone (757) 485-5000
10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705
7300 Forest Ave
Richmond, VA 23226
Phone (804) 280-3152
3900 Westerre Pkwy
Richmond, VA 23233
Phone (703) 491-6167
831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345
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.
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
VA
-
- Family Medicine Physician
- Conyers, GA
- NPI 1598061293
-
- Physical Medicine & Rehabilitation Physician
- Wallingford, CT
- NPI 1154363653
-
- Physical Therapist
- West Springfield, MA
- NPI 1346427713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1609937192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N MICHIGAN AVE",
"address_2": "SUITE 1200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114264",
"telephone_number": "312-635-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073360",
"telephone_number": "843-608-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "MD37514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375141",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01451574",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.