Active NPI
Michael Perez, M.D.
- Pediatric Cardiology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 58694
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58694 | AZ | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children's Medical Group | Pediatrics | Current | Accepting new patients |
| Dell Children's Medical Group | Current | Accepting new patients | |
| Dell Children's Medical Group | Pediatrics | Current | Accepting new patients |
| Magella Medical Associates Billing, Inc. | Pediatric Cardiology | Current | 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
- michael.perezmd.p105@direct.mednax.nextgenshare.com
- 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.
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
dba Magella Medical Associates
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
Pediatric Cardiology
-
dba Dell Children's Medical Group Sleep Center
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
-
- Pediatrics Physician
- Round Rock, TX
- NPI 1790103869
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.