Active NPI
Luis Daniel Perez, P.A.
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03892
- Practice address
- 1200 Brooklyn Ave
320
San Antonio, TX 78212-4803 - Phone
- (210) 396-5310
- Fax
- (210) 396-5316
- NPI assigned
- Jun 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03892 | TX | Primary |
Addresses
Primary practice location
1200 Brooklyn Ave
320
San Antonio, TX 78212-4803
Mailing address
1200 Brooklyn Ave
320
San Antonio, TX 78212-4803
Phone (210) 396-5310
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA03892 | Medicaid | TX | |
| 8N4701 | Other | TX | BCBS |
| 7863511 | Other | TX | AETNA |
| P00217741 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19138 US Hwy 281 N
San Antonio, TX 78258-4988
Phone (210) 804-5400
400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6991
Phone (210) 804-5400
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.86 of 100
- Quality
- 65.93
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 71.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The San Antonio Orthopaedic Group, LLP | Current | Accepting new patients | |
| The San Antonio Orthopaedic Group, LLP | Current | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients |
Locations
1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741
11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215
400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416
Interoperability endpoints
- luis.perez.pa.1@94.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1720022494
-
- Orthopedic Physical Therapist
- San Antonio, TX
- NPI 1770042152
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1629011085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BROOKLYN AVE",
"address_2": "320",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124803",
"telephone_number": "210-396-5310",
"fax_number": "210-396-5316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BROOKLYN AVE",
"address_2": "320",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124803",
"telephone_number": "210-396-5310",
"fax_number": "210-396-5316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LUIS",
"middle_name": "DANIEL",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA03892",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8N4701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7863511",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00217741",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.