Waseem Peracha, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

L0902 Issued in TX

Practice address

12051 Westpark Dr
Ste 200
Houston, TX 77082-5556

Phone

(281) 558-8260

Fax

(281) 531-8087

NPI assigned

Jul 18, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita West Point Dialysis Dialysis facility, Houston, TX, CCN 672693
• DaVita Dairy Ashford Dialysis Dialysis facility, Houston, TX, CCN 672848
• Westminster Dialysis Dialysis facility, Houston, TX, CCN 452709
• HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HACBCA/Endpoint/HACBCA

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.

• Renal Care Consultant, P.a

  • Specialist
  • Houston, TX
  • NPI 1356566194
  Medicare reassignment NPD Authorized official
• Pfeiffer Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
  • NPI 1083908800
  NPD (past)
• Rahul Prakash, M.D., P.a.

  • Interventional Cardiology Physician
  • Houston, TX
  • NPI 1013443274
  NPD (past)
• Rahul Prakash, M.D., P.a.

  • Nephrology Physician
  • Katy, TX
  • NPI 1326244849
  NPD (past)
• Inphynet Primary Care Physicians Midwest, S.C.

  • Physician Assistant
  • Fort Wayne, IN
  • NPI 1528090610
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pfeiffer Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
  • NPI 1083908800

  Dialysis facility

  Care Compare affiliation Name & address match
• Chca West Houston L P

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1275580938
  Care Compare affiliation

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1710986294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11152 WESTHEIMER RD",
            "address_2": "702",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423208",
            "telephone_number": "281-558-8260",
            "fax_number": "281-531-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12051 WESTPARK DR",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825556",
            "telephone_number": "281-558-8260",
            "fax_number": "281-531-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERACHA",
        "first_name": "WASEEM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-03-26",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L0902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030181403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H8370",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162944602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "390343",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO",
            "identifier": "86872Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA1849",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10011273",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaes Edward Pepke
• Spyridon Peppas, M.D.
• Mary Michele Pepper, LPC, LMFT
• Peppertree Complete Care, LLC
• Gabriela Lisette Pequeno, LPC
• Cristal Perales
• Daniel Perales, PT
• Elizabeth Perales
• Isaac Joseph Perales, PHARMD
• Urivi Ruby Perales

• Nephrology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.

Verify at the official NPI Registry.