NPIMap

Individual provider Active NPI

Juan Perez, D.O.

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1659359180
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS021073 Issued in PA
Practice address
145 N 6TH St FL 1
Reading, PA 19601-3096
Phone
(610) 208-4558
Fax
(610) 378-2441
NPI assigned
Jan 5, 2006
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 OS021073 PA Primary

Addresses

Primary practice location

145 N 6TH St FL 1
Reading, PA 19601-3096

Mailing address

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000

Other identifiers 3

IdentifierTypeStateIssuer
036100812MedicaidIL
01619414OtherILBCBS OF IL-SECONDARY LOCATION
01635959OtherILBCBS OF IL -PRIMARY LOCATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210430000949 PA Practitioner - Family PracticePractitioner - Hospitalist 3971597592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Michigan State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians

Practice addresses (Care Compare)

145 N 6TH St
FL 2
Reading, PA 19601-3096
Phone (610) 208-4558

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.05 of 100Reported as group
Quality
80.49
Promoting interoperability
91
Improvement activities
40
Cost
82.07

Merit-based Incentive Payment System (MIPS)

Final score
79.31 of 100Reported as group
Quality
55.01
Promoting interoperability
99
Improvement activities
40
Cost
76.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS021073PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Medical Group Family Medicine Current Accepting new patients
St Joseph Regional Health Network CurrentSince May 3, 2021 Accepting new patients
St. Joseph Regional Health Network Family Medicine CurrentSince May 3, 2021 Accepting new patients
Berks Pathology Associates, Inc Current Accepting new patients
St. Joseph Medical Group CurrentSince May 3, 2021 Accepting new patients
Presence Healthcare Services Past Accepting new patients
Resurrection Services Family Medicine Past Accepting new patients
Macneal Physicians Group LLC Family Medicine Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
Edward Health Ventures Past Accepting new patients

Locations

145 N 6th St
Fl 1
Reading, PA 19601
Phone (610) 208-4558

145 N 6th St
Fl 2
Reading, PA 19601
Phone (610) 208-4558

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Organizations & group practices 10

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 4

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1659359180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2000",
            "fax_number": "610-378-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 6TH ST FL 1",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013096",
            "telephone_number": "610-208-4558",
            "fax_number": "610-378-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JUAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100812",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL-SECONDARY LOCATION",
            "identifier": "01619414",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL -PRIMARY LOCATION",
            "identifier": "01635959",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.