NPIMap

Individual provider Active NPI

Juan Rodrigo Perez, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1649278276
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9425 Issued in TX
Practice address
840 E Redd Rd
BLDG. 2
El Paso, TX 79912-7221
Phone
(915) 845-2220
Fax
(915) 845-2221
NPI assigned
Jul 8, 2005
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L9425 TX Primary

Addresses

Primary practice location

840 E Redd Rd
BLDG. 2
El Paso, TX 79912-7221

Mailing address

840 E Redd Rd
BLDG. 2
El Paso, TX 79912-7221
Phone (915) 845-2220

Other identifiers 3

IdentifierTypeStateIssuer
8P9370OtherTXBCBS
1683351-01MedicaidTX
201389499OtherTXTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041030000147 TX Practitioner - Family Practice 7810891892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

6151 Dew Dr
El Paso, TX 79912-3912
Phone (915) 581-9606

840 E Redd Rd
BLDG 2
El Paso, TX 79912-7265
Phone (915) 845-2220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Wellness and Healthcare Center P.a. Family Medicine CurrentSince Aug 10, 2004 Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients

Locations

840 E Redd Rd
Bldg 2
El Paso, TX 79912
Phone (915) 845-2220

Interoperability endpoints

  • Direct secure messaging: juanperez@epwhcpa.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1649278276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E REDD RD",
            "address_2": "BLDG. 2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127221",
            "telephone_number": "915-845-2220",
            "fax_number": "915-845-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E REDD RD",
            "address_2": "BLDG. 2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127221",
            "telephone_number": "915-845-2220",
            "fax_number": "915-845-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JUAN",
        "middle_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P9370",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1683351-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201389499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.