Individual provider Active NPI

Alberto Perez, MD

  • Emergency Medicine Physician
  • Newport, VT
National Provider Identifier
1700971330
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
042.0012502 Issued in VT
Practice address
189 Prouty Dr
Newport, VT 05855-9820
Phone
(802) 334-7331
NPI assigned
Oct 3, 2006
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 040475 CT
Emergency Medicine Physician 207P00000X 042.0012502 VT Primary
Medical Toxicology (Emergency Medicine) Physician 207PT0002X 040475 CT

Addresses

Primary practice location

189 Prouty Dr
Newport, VT 05855-9820

Mailing address

59 Windswept Way
Coventry, CT 06238
Phone (860) 742-6932

Other practice location 1

263 Farmington Ave
Emergency Medicine
Farmington, CT 06030-1000
Phone (860) 679-4636

Other identifiers 1

IdentifierTypeStateIssuer
1021161MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alberto.perez.1@15991.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, VI, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191114000666 VT Practitioner - Emergency Medicine 2466436878 Reassigns benefits to 2 organizations
I20211215001430 VI Practitioner - Emergency Medicine 2466436878 Reassigns benefits to 1 organization
I20221219001249 MA Practitioner - Emergency Medicine 2466436878 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

Practice addresses (Care Compare)

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042.0012502VTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
North Country Hospital & Health Center Inc Emergency Medicine Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Dec 20, 2021 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jan 5, 2026 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Nov 30, 2022 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Jan 5, 2026 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jan 5, 2026 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Dec 20, 2021 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Dec 21, 2021 Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Fairview Hospital CurrentSince Jan 5, 2026 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jan 5, 2026 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Dec 21, 2021 Accepting new patients
Northeast Emergency Medicine Specialists, LLC Emergency Medicine Past Accepting new patients

Locations

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

489 Pittsfield Rd
Lenox, MA 01240
Phone (413) 499-3430

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

505 East St
Pittsfield, MA 01201
Phone (413) 442-6221

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262

189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Interoperability endpoints

  • Direct secure messaging: alberto.perez.1@15991.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1700971330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 WINDSWEPT WAY",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "06238",
            "telephone_number": "860-742-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 PROUTY DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559820",
            "telephone_number": "802-334-7331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_2": "Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060301000",
            "country_code": "US",
            "telephone_number": "860-679-4636",
            "fax_number": "860-679-3489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "040475",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "042.0012502",
            "primary": true
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "CT",
            "license": "040475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021161",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alberto.perez.1@15991.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "189 Prouty Dr",
            "city": "Newport",
            "state": "VT",
            "country_code": "US",
            "postal_code": "058559820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

Verify at the official NPI Registry.