Ruben Perez, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

PE133702 Issued in PA

Practice address

4TH & Walnut Streets
2ND Floor West
Lebanon, PA 17042-6123

Phone

(717) 270-8875

Fax

(717) 270-2325

NPI assigned

Aug 26, 2005

Last updated

Jun 5, 2017By 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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• Lebanon Oncology & Hematology Assoc.

  • Hematology & Oncology Physician
  • Lebanon, PA
  • NPI 1457360471
  NPD (past) Authorized official
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba WellSpan Toxicology

  • Medical Toxicology (Emergency Medicine) Physician
  • York, PA
  • NPI 1265123475
  NPD

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1629061452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170420300",
            "telephone_number": "717-270-7780",
            "fax_number": "717-274-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH & WALNUT STREETS",
            "address_2": "2ND FLOOR WEST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426123",
            "telephone_number": "717-270-8875",
            "fax_number": "717-270-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RUBEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "PE133702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "573400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "133702FLT",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010449210004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02789600",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Counseling Services, Inc.
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #01914)
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #17879)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01631)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01920)
• Wanda Garrett Perez, CRNA
• Amijo Perrine
• Elizabeth A Petcov, CRNP
• Nicole Renee Peter
• Levi Peters, NP

• Hematology & Oncology Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Hematology & Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.

Verify at the official NPI Registry.