Individual provider Active NPI

Pedro J Perez, M.D.

  • Cardiovascular Disease Physician
  • Milford, DE
National Provider Identifier
1679540256
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C10005847 Issued in DE
Practice address
802 N Dupont Blvd
Milford, DE 19963-1006
Phone
(302) 422-6050
Fax
(302) 422-6685
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C10005847 DE Primary

Addresses

Primary practice location

802 N Dupont Blvd
Milford, DE 19963-1006

Mailing address

640 S State St
742 Building
Dover, DE 19901-3530
Phone (302) 674-3970

Other identifiers 1

IdentifierTypeStateIssuer
0001022001MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20040129001250 DE Practitioner - Cardiovascular Disease (Cardiology) 7810890530 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Bayhealth Hospital Sussex Campus
Milford, DE 19963-4364
Phone (302) 430-5738

640 S State St
Kent Campus
Dover, DE 19901-3530
Phone (302) 744-7000

802 N Dupont Blvd
Bayhealth Cardio Consult Milford
Milford, DE 19963-1006
Phone (302) 422-6050

Hospital & facility affiliations

  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Feb 21, 2005 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Feb 28, 2011 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Feb 21, 2005 Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease Past Accepting new patients
Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients

Locations

640 S State St
Bldg 3RD
Dover, DE 19901

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#742
Dover, DE 19901

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

802 N DuPont Blvd
Milford, DE 19963
Phone (302) 422-6050

18383 Hudson Rd
Milton, DE 19968
Phone (302) 725-3499

252 Chapman Rd
Ste 150
Newark, DE 19702
Phone (302) 366-7665

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1679540256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "742 BUILDING",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-674-3970",
            "fax_number": "302-672-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N DUPONT BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631006",
            "telephone_number": "302-422-6050",
            "fax_number": "302-422-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "PEDRO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10005847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001022001",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.