NPIMap

Individual provider Active NPI

Rene Perez, M.D.

  • Obstetrics Physician
  • San Antonio, TX
National Provider Identifier
1669687141
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
M6336 Issued in TX
Practice address
11212 St Hwy 151 #350
Plaza 2
San Antonio, TX 78251
Phone
(210) 281-5066
Fax
(210) 281-4459
NPI assigned
May 10, 2007
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X M6336 TX Primary

Addresses

Primary practice location

11212 St Hwy 151 #350
Plaza 2
San Antonio, TX 78251

Mailing address

11212 St. Hwy 151, #350
Plaza 2
San Antonio, TX 78251
Phone (210) 281-5066

Other identifiers 3

IdentifierTypeStateIssuer
8AW080OtherTXBCBS ID
1945966-04MedicaidTX
450576052OtherTXTAX 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
I20080724000039 TX Practitioner - Obstetrics/Gynecology 7214000272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamo Women's Obstetrics and Gynecology, PLLCGroup PAC ID 0941587836, 5 clinicians
Boerne OB/GYN, P.a.Group PAC ID 7719021690, 2 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
San Antonio, TX 78251-4498
Phone (210) 281-5066

134 Menger SPGS
Suite 1360
Boerne, TX 78006-7227
Phone (830) 816-5222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6336TXMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Women's Obstetrics & Gynecology, PLLC CurrentSince Apr 15, 2017 Accepting new patients
Boerne OB/GYN, P.a. CurrentSince Jul 1, 2022 Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
Surgcenter of Westover Hills LLC PastSince Mar 4, 2013 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients

Locations

134 Menger Spgs
Ste 1360
Boerne, TX 78006
Phone (830) 816-5222

11212 State Highway 151
Ste 350
San Antonio, TX 78251
Phone (210) 281-5066

5616 Lone Star Pkwy
Ste 103
San Antonio, TX 78253
Phone (210) 281-5066

Interoperability endpoints

  • Direct secure messaging: reneperez@awoagp-tx.direct.office.nextgen.com

Organizations & group practices 5

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 2

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1669687141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 ST. HWY 151, #350",
            "address_2": "PLAZA 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-281-5066",
            "fax_number": "210-281-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 ST HWY 151 #350",
            "address_2": "PLAZA 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-281-5066",
            "fax_number": "210-281-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "M6336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "8AW080",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1945966-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "450576052",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.