NPIMap

Individual provider Active NPI

Mark A Perez, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1720152473
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14517 Issued in NV
Practice address
4275 Burnham Ave. Suite 210
Las Vegas, NV 89119-5488
Phone
(702) 384-7669
Fax
(702) 385-7669
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14517 NV Primary
Family Medicine Physician 207Q00000X G067514 CA

Addresses

Primary practice location

4275 Burnham Ave. Suite 210
Las Vegas, NV 89119-5488

Mailing address

4275 Burnham Ave
Suite 210
Las Vegas, NV 89119-5488
Phone (702) 384-7669

Other identifiers 2

IdentifierTypeStateIssuer
00G675140OtherCABLUE SHIELD OF CA
G00675140MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121106000308 NV Practitioner - Family Practice 3173706959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark a Perez MD LLCGroup PAC ID 2365693082, 2 clinicians

Practice addresses (Care Compare)

4275 Burnham Ave
Suite 210
Las Vegas, NV 89119-5400
Phone (702) 384-7669

Hospital & facility affiliations

  • DD Home Health Care Inc Home health agency, Las Vegas, NV, CCN 297335
  • Comprehensive Health Service, LLC Home health agency, Las Vegas, NV, CCN 297225
  • Care 4 You Home Health Inc Home health agency, Las Vegas, NV, CCN 297367

Merit-based Incentive Payment System (MIPS)

Final score
93.58 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
61.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G067514CAMDFamily Medicine Physician
14517NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health Current Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: markperez-bhs-inc@lacsapc.netsmartdirect.net

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.

Hospital & facility affiliations 3

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1720152473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195488",
            "telephone_number": "702-384-7669",
            "fax_number": "702-385-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE. SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195488",
            "telephone_number": "702-384-7669",
            "fax_number": "702-385-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "14517",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G067514",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G675140",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G00675140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.