Individual provider Active NPI

Michael Perez, M.D.

  • Pediatric Cardiology Physician
  • Mesa, AZ
National Provider Identifier
1679893341
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
58694 Issued in AZ
Practice address
1432 S Dobson Rd Ste 512
Mesa, AZ 85202-4778
Phone
(480) 412-6336
Fax
(480) 412-8013
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 036139941 IL
Pediatric Cardiology Physician 2080P0202X 58694 AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd Ste 512
Mesa, AZ 85202-4778

Mailing address

1432 S Dobson Rd Ste 512
Mesa, AZ 85202-4778
Phone (480) 412-6336

Other practice location 1

225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220228000681 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 6103064167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dell Childrens Medical GroupGroup PAC ID 8224092978, 117 clinicians

Practice addresses (Care Compare)

1301 Barbara Jordan Blvd
Austin, TX 78723-3078

4900 Mueller Blvd
Austin, TX 78723-3051
Phone (512) 324-0000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58694AZMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group Pediatrics CurrentSince Nov 15, 2024 Accepting new patients
Dell Children's Medical Group CurrentSince Nov 15, 2024 Accepting new patients
Dell Children's Medical Group Pediatrics Current Accepting new patients
Magella Medical Associates Billing, Inc. Pediatric Cardiology CurrentSince Apr 18, 2022 Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

4910 Mueller Blvd
Ste 102
Austin, TX 78723
Phone (512) 777-2917

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1301 Medical Pkwy
Ste 320
Cedar Park, TX 78613
Phone (512) 260-7867

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

4853 Williams Dr
Ste 105
Georgetown, TX 78633
Phone (512) 691-6505

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

1180 Seton Pkwy
Ste 250
Kyle, TX 78640
Phone (512) 777-2917

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • Direct secure messaging: michael.perezmd.p105@direct.mednax.nextgenshare.com
  • Direct secure messaging: michael.perez.1@8363.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1679893341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 512",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024778",
            "telephone_number": "480-412-6336",
            "fax_number": "480-412-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 512",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024778",
            "telephone_number": "480-412-6336",
            "fax_number": "480-412-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112991",
            "country_code": "US",
            "telephone_number": "312-227-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036139941",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "58694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.