Active NPI
Meriner M Pereira, M.D.
- Dermatology Physician
- Muscatine, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD34725
- Practice address
- 2300 Park Ave
Muscatine, IA 52761-5444 - Phone
- (563) 263-2113
- Fax
- (563) 263-2619
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD34725 | IA | Primary |
| Procedural Dermatology Physician | 207NS0135X | MD34725 | IA |
Addresses
Primary practice location
2300 Park Ave
Muscatine, IA 52761-5444
Mailing address
4909 N Glen Park Place Rd
Peoria, IL 61614-4689
Phone (309) 674-7546
Other practice location 1
2315 Roosevelt St
Clinton, IA 52732-2412
Phone (563) 242-3571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 E 54TH St
Suite B
Davenport, IA 52807-2852
Phone (563) 344-7546
2300 A Park Ave
Muscatine, IA 52761-5444
Phone (563) 263-2113
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 208 |
| Removal of skin lesions | 1056 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 87 |
| Skin biopsy | 490 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD34725 | IA | MD | Dermatology Physician |
Interoperability endpoints
- mpereira@directaddress.net
Organizations & group practices 2
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.
-
- Procedural Dermatology Physician
- Muscatine, IA
- NPI 1255538591
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne Clinton Medical Center
- General Acute Care Hospital
- Clinton, IA
- NPI 1427093962
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624665600000",
"number": "1639226731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 N GLEN PARK PLACE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616144689",
"telephone_number": "309-674-7546",
"fax_number": "309-691-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 PARK AVE",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527615444",
"telephone_number": "563-263-2113",
"fax_number": "563-263-2619"
}
],
"practiceLocations": [
{
"address_1": "2315 Roosevelt St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "IA",
"postal_code": "527322412",
"country_code": "US",
"telephone_number": "563-242-3571",
"fax_number": "563-243-4971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREIRA",
"first_name": "MERINER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2021-06-26",
"certification_date": "2021-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "MD34725",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "IA",
"license": "MD34725",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muscatine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.